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Active NPI 1114141587 Individual Practitioner Male Practitioner

Dr. Gary I Perrin , PhD

Psychologist - Forensic • Tucson, AZ

Professional Overview & Biography Verified Profile Summary

Dr. Gary Perrin, PhD is a registered healthcare professional specializing in Psychologist - Forensic in Tucson, AZ. Practice services are available at 5151 E BROADWAY BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5151 E Broadway Blvd
Suite 720

Tucson, AZ 857113705

Telephone 5207905200
Fax 5207905175
Associated Practice Facility / Clinic
🏢 Raksa Wellness Facility NPI 1073436374

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - Forensic in Tucson, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 44.0 Yrs
Regional Practice Density
2 Specialists

Practicing in Tucson, AZ (21 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist - Forensic Primary Specialty

NUCC Taxonomy Code: 103TF0200X

State License AZ 1636

A psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Kenneth Keller , PhD

Psychologist - Clinical

NPI 1114075207

Doctor of Philosophy (Ph.D.)

Dr. Brian Walker , PhD

Counselor - Mental Health

NPI 1285702530

Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 5151 E BROADWAY BLVD, SUITE 720, TUCSON, AZ 857113705 (Tel: 5207905200)

📍
Updated Business Mailing Address July 08, 2007

Registered at 5151 E BROADWAY BLVD, SUITE 720, TUCSON, AZ 857113705 (Tel: 5207905200)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as GARY PERRIN, PH.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Psychologist (License #1636 in AZ)

🟢
Initial NPI Registration & Enumeration April 13, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114141587
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 13, 2007
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

5151 E Broadway Blvd, Suite 720

Tucson, AZ 857113705

Phone: 5207905200

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.