National Provider Identifier
Jessica Jayne Perrin, M.S., CCC-SLP/NYSL
Jessica Jayne Perrin, M.S., CCC-SLP/NYSL is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Clifton Springs, NY and a listed phone number of (315) 548-6631.
Profile Overview
- NPI
- 1578960852
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- December 02, 2014
- Last Updated
- February 11, 2020
Practice Location
- 1550 State Route 488
- Clifton Springs, NY 14432-9308
Phone: (315) 548-6631
Mailing Address
- 131 Drumlin Ct
- Newark, NY 14513-1863
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1578960852
- Entity Type
- Individual
- Last Name
- Perrin
- First Name
- Jessica
- Middle Name
- Jayne
- Name Prefix
- Mrs.
- Credential
- M.S., CCC-SLP/NYSL
- Provider Other Last Name
- Raes
- Provider Other First Name
- Jessica
- Provider Other Middle Name
- Jayne
- Provider Other Name Prefix Text
- Miss
- Provider Other Credential Text
- M.S., TSSLD
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 131 Drumlin Ct
- Mailing City
- Newark
- Mailing State
- NY
- Mailing ZIP Code
- 14513-1863
- Mailing Country
- US
- Practice Street Address
- 1550 State Route 488
- Practice City
- Clifton Springs
- Practice State
- NY
- Practice ZIP Code
- 14432-9308
- Practice Country
- US
- Practice Phone
- (315) 548-6631
- Enumeration Date
- December 02, 2014
- Last Updated
- February 11, 2020
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- February 11, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)