Individual
ANTHONY PERUCCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SLP
Contact information
Practice address
2927 S FISH HATCHERY RD, FITCHBURG, WI 53711-6498
(608) 819-6394
Mailing address
2927 S FISH HATCHERY RD, FITCHBURG, WI 53711-6498
(608) 819-6394
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4802-154
WI
235Z00000X
Speech-Language Pathologist
LL60467213
WA
Other
Enumeration date
04/01/2014
Last updated
04/08/2019
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