Hailey Krouse Perez, PHD
Individual provider Active NPI Psychologist · Willow Spring, NC
NPI 1316670482 · NPPES record last updated Jul 6, 2022
Key facts
- NPI
- 1316670482
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 4777 (NC)
- Practice address
- 3624 Norman Blalock Rd
Willow Spring, NC 27592-8966 - Phone
- (919) 903-6209
- NPI assigned
- Jul 6, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4777 | NC | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Hailey Krouse Perez, PH.D., PLLC | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 4777 | NC | Yes |
Addresses
Primary practice location
3624 Norman Blalock Rd
Willow Spring, NC 27592-8966
Mailing address
6805 Dwight Rowland Rd Unit 621
Willow Spring, NC 27592-0150
Phone (919) 704-4204
Other providers in Willow Spring, NC
- Jacquelyn G Mercer
- Ashley N Moran
- Jessica Hope Naranjo
- Keith Ollen Noles
- Path Pediatric Therapy, PLLC
- Stacie Peterson
- Jamie Pettus
- R.W. Ehlers D.M.D., P.L.L.C
- Ramp It Up, LLC
- Reckon Psychology, PLLC
All providers in Willow Spring, NC · Psychologist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 6, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.