Doctor Name: | MRS. LAURA PERINO |
NPI Number: | 1306040969 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.C.C. |
License Number: | E 00022990 |
Business Practice Address: | 1200 Dixie Hwy Rossford, OH - 434601406 |
Business Phone Number: | 4196625555 |
Business Fax Number: | 4196625547 |
Mailing Address: | 868 Maple Ln, WATERVILLE |
State: | OH |
Postal Code: | 435661127 |
Phone Number: | 4198785392 |
Fax Number: | |
NPI Enumeration Date: | 06/14/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | E 00022990 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |