Individual
MISS AMY SUSAN PERNACCHIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
359 JONES RD, FALMOUTH, MA 02540-3341
(508) 457-9000
Mailing address
57 MAIN ST, FALMOUTH, MA 02540-2652
(203) 464-0322
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
004387
CT
235Z00000X
Speech-Language Pathologist
Primary
8395
MA
235Z00000X
Speech-Language Pathologist
SP01163
RI
Other
Enumeration date
10/08/2012
Last updated
10/08/2012
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