Doctor Name: | AMANDA LEIGH PERONE-SMITH |
NPI Number: | 1952699720 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS CCC-SLP |
License Number: | 019854-1 |
Business Practice Address: | 13530 82nd Dr Apt 2l Jamaica, NY - 114351492 |
Business Phone Number: | 5166971103 |
Business Fax Number: | |
Mailing Address: | 13530 82nd Dr Apt 2l, JAMAICA |
State: | NY |
Postal Code: | 114351492 |
Phone Number: | 5166971103 |
Fax Number: | |
NPI Enumeration Date: | 07/14/2011 |
NPI Last Update Date: | 07/17/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 019854-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
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 |