Provider Demographics
NPI:1609386044
Name:PERRION, ANNIE ROSE (MS, CF-SLP)
Entity Type:Individual
Prefix:
First Name:ANNIE
Middle Name:ROSE
Last Name:PERRION
Suffix:
Gender:F
Credentials:MS, CF-SLP
Other - Prefix:
Other - First Name:ANNIE
Other - Middle Name:ROSE
Other - Last Name:HOCKHALTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1500 S 3RD ST
Mailing Address - Street 2:
Mailing Address - City:ABERDEEN
Mailing Address - State:SD
Mailing Address - Zip Code:57401-6957
Mailing Address - Country:US
Mailing Address - Phone:605-725-7618
Mailing Address - Fax:
Practice Address - Street 1:1500 S 3RD ST
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:SD
Practice Address - Zip Code:57401-6957
Practice Address - Country:US
Practice Address - Phone:605-725-7618
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-11
Last Update Date:2017-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD726-PROV235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty