Active NPI
Christine Lynne Perilli, M.S. CCC-SLP
- Speech-Language Pathologist
- Bethlehem, PA
National Provider Identifier
1790050318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SL010654
- Practice address
- 4035 Green Pond Rd
Bethlehem, PA 18020-9662 - Phone
- (610) 865-5580
- NPI assigned
- Mar 15, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SL010654 | PA | Primary |
Addresses
Primary practice location
4035 Green Pond Rd
Bethlehem, PA 18020-9662
Mailing address
101 Weymouth Cir
Lansdale, PA 19446-6464
Phone (215) 527-8966
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SL010654 | PA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331769600000",
"number": "1790050318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 WEYMOUTH CIR",
"city": "LANSDALE",
"state": "PA",
"postal_code": "194466464",
"telephone_number": "215-527-8966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4035 GREEN POND RD",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180209662",
"telephone_number": "610-865-5580"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERILLI",
"first_name": "CHRISTINE",
"middle_name": "LYNNE",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-15",
"last_updated": "2012-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PA",
"license": "SL010654",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bethlehem, PA
- Kelly Taylor Peretich, M.D.
- Vanessa M. Perez Weiss, FNP, NP-C
- Luis Perez-Mota, MA
- Kevin Elbert Mansilla Perez, M.D.
- Lisa Marie Perez, M.S.,C.C.C. - SLP
- Perillo Chiropractic LLP (Be Well Chiropractic)
- Perillo Chiropractic LLP (Be Well Chiropractic)
- Christy Perillo, DC
- Jason Charles Perillo, DC
- Jeffrey C. Perkins, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.