Individual
AMANDA LEIGH PERONE-SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
13530 82ND DR APT 2L, JAMAICA, NY 11435-1492
(516) 697-1103
Mailing address
13530 82ND DR APT 2L, JAMAICA, NY 11435-1492
(516) 697-1103
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
019854-1
NY
Other
Enumeration date
07/14/2011
Last updated
07/17/2014
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