Most Relevant Information
Provider Data
| NPI Number: | 1003215336 |
| Provider Name: | AMANDA ROSE PERAINO MA, ED.M |
| Entity Type: | Individual |
| Taxonomy Code: | 174400000X |
| Specialty: | Specialist |
| License Number: | 770434131 |
Most Important Dates
| Enumeration Date: | 08/22/2014 |
| Last Updated: | 08/22/2014 |
Provider Practice Location
17 STONEFIELD ROAD
GLEN ROCK
NJ
07452
Practice Location Phone/Fax
| Phone: | 5514270867 |
| Fax: |
Provider Mailing Location
17 STONEFIELD ROAD
GLEN ROCK
NJ
07452
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |