Provider Demographics
NPI:1033907563
Name:MECKLING-PERUTO, DEANNA (MS, NCC)
Entity type:Individual
Prefix:
First Name:DEANNA
Middle Name:
Last Name:MECKLING-PERUTO
Suffix:
Gender:
Credentials:MS, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3308 PATRIOTS LN APT 3308
Mailing Address - Street 2:
Mailing Address - City:NORRISTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19403-5269
Mailing Address - Country:US
Mailing Address - Phone:215-534-3330
Mailing Address - Fax:
Practice Address - Street 1:1220 VALLEY FORGE ROAD
Practice Address - Street 2:SUITE 38
Practice Address - City:VALLEY FORGE
Practice Address - State:PA
Practice Address - Zip Code:19482
Practice Address - Country:US
Practice Address - Phone:215-534-3330
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-25
Last Update Date:2025-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PRELICENSED101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health