National Provider Identifier

Susan Jean Perillo

Susan Jean Perillo is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Geneva, NY and a listed phone number of (315) 789-7611.

NPI 1144305848Geneva, NYSpeech-Language Pathologist

Profile Overview

NPI
1144305848
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
October 25, 2006
Last Updated
July 08, 2007

Practice Location

  • 650 Pre Emption RD
  • Geneva, NY 14456-1334

Phone: (315) 789-7611

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1144305848
Entity Type
Individual
Last Name
Perillo
First Name
Susan
Middle Name
Jean
Mailing Street Address
650 Pre Emption RD
Mailing City
Geneva
Mailing State
NY
Mailing ZIP Code
14456-1334
Mailing Country
US
Mailing Phone
(315) 789-7611
Mailing Fax
(315) 789-8136
Practice Street Address
650 Pre Emption RD
Practice City
Geneva
Practice State
NY
Practice ZIP Code
14456-1334
Practice Country
US
Practice Phone
(315) 789-7611
Practice Fax
(315) 789-8136
Enumeration Date
October 25, 2006
Last Updated
July 08, 2007
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)