| Doctor Name: | AMY LYNN PERINO |
| NPI Number: | 1699036319 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA, SLP |
| License Number: | SP 19722 |
| Business Practice Address: | 721 N Vulcan Ave Suite 208 Encinitas, CA - 920242190 |
| Business Phone Number: | 7606341125 |
| Business Fax Number: | |
| Mailing Address: | 721 N Vulcan Ave, Suite 208 ENCINITAS |
| State: | CA |
| Postal Code: | 920242190 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 05/30/2012 |
| NPI Last Update Date: | 02/05/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SP 19722 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |