Jenna Perez, M.S., CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Leon Valley, TX
NPI 1093433153 · NPPES record last updated Aug 16, 2022
Key facts
- NPI
- 1093433153
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 110376 (TX)
- Practice address
- 5651 Grissom Rd
Leon Valley, TX 78238-2220 - Phone
- (210) 397-8158
- NPI assigned
- Aug 16, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 110376 | TX | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 110376 | TX | Yes |
Addresses
Primary practice location
5651 Grissom Rd
Leon Valley, TX 78238-2220
Mailing address
5651 Grissom Rd
Leon Valley, TX 78238-2220
Phone (210) 397-8158
Other providers in Leon Valley, TX
- Lourdes Vanessa Limon
- Lone Star Provider Care LLC
- Gisselly Maldonado
- Medical Reliance Ambulance Service
- Bacilio Moreno
- Timothy O'Dell Puckett
- Santiago Ramirez
- Rapid Care Ambulance Service
- Rebound H2O, LLC
- Pei Ting Sawyer
All providers in Leon Valley, TX · Speech-Language Pathologist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 16, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.