Provider Demographics
NPI:1306002555
Name:PERRONE, RALPH RONALD (LMFT)
Entity Type:Individual
Prefix:MR
First Name:RALPH
Middle Name:RONALD
Last Name:PERRONE
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 HAMETOWN RD
Mailing Address - Street 2:
Mailing Address - City:GLEN ROCK
Mailing Address - State:PA
Mailing Address - Zip Code:17327-9149
Mailing Address - Country:US
Mailing Address - Phone:717-235-4231
Mailing Address - Fax:
Practice Address - Street 1:129 CHARLES ST.
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:PA
Practice Address - Zip Code:17331-1807
Practice Address - Country:US
Practice Address - Phone:717-633-1227
Practice Address - Fax:717-633-5250
Is Sole Proprietor?:No
Enumeration Date:2008-08-06
Last Update Date:2008-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMF000139106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist