Individual
CHRISTINE TERESA PERRICELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
116 WATER FRONT VW, MOHEGAN LAKE, NY 10547-1214
(914) 528-8123
Mailing address
116 WATERFRONT VIEW, MOHEGAN LAKE, NY 10547-1214
(914) 528-8123
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
016388-1
NY
Other
Enumeration date
10/21/2008
Last updated
10/21/2008
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