Provider Demographics
NPI:1114183001
Name:PERRINO, STEVEN R (NBC-HIS)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:R
Last Name:PERRINO
Suffix:
Gender:M
Credentials:NBC-HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1118 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21804-4460
Mailing Address - Country:US
Mailing Address - Phone:410-219-5088
Mailing Address - Fax:410-860-8846
Practice Address - Street 1:1118 E MAIN ST
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21804-4460
Practice Address - Country:US
Practice Address - Phone:410-219-5088
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-31
Last Update Date:2014-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE03-0000178237700000X
MD02110237700000X
VA2101 000662237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist