Healthcare Provider Details

I. General information

NPI: 1316876477
Provider Name (Legal Business Name): JENNIFER M. PERRON SLPA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/15/2026
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2238 E GINTER RD
TUCSON AZ
85706-5806
US

IV. Provider business mailing address

2238 E GINTER RD
TUCSON AZ
85706-5806
US

V. Phone/Fax

Practice location:
  • Phone: 520-545-2137
  • Fax:
Mailing address:
  • Phone: 520-545-2137
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License NumberSLPA15864
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: