Individual provider · NPI-1

Le'Marus Perez Alston, PhD

Psychologist, Clinical · Rocky Mount, NC

NPI number1114321817
StatusActive
Last updated in NPPESOct 8, 2023

Details

NPI
1114321817
Entity type
Individual (NPI-1)
Name
Mr. Le'Marus Perez Alston
Credential
PhD
Sex
Male
Sole proprietor
Yes
Enumeration date
Oct 9, 2014
Certification date
Oct 8, 2023
Last updated
Oct 8, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103TC0700X Psychologist, ClinicalPSY2200001392DCYes
103TC0700X Psychologist, Clinical0810007832VA
103TC0700X Psychologist, Clinical4672NC

Practice location

3400 N Wesleyan Blvd
Rocky Mount, NC 27804-8699

Phone 252-567-4922

Mailing address

3400 N Wesleyan Blvd
Rocky Mount, NC 27804-8699

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