Healthcare Provider Details

I. General information

NPI: 1205282092
Provider Name (Legal Business Name): ERIC JOHN PERONI M.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/11/2016
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 S 5TH ST
READING PA
19602-1662
US

IV. Provider business mailing address

707 N MONOCACY CREEK RD
DOUGLASSVILLE PA
19518-8755
US

V. Phone/Fax

Practice location:
  • Phone: 610-685-2188
  • Fax: 610-685-2183
Mailing address:
  • Phone: 610-401-7807
  • Fax: 610-510-2113

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberPC011581
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: