MEDICARE: JESSICA PERIGNY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	17108	CA

General Provider Information

NPI Number	:	1174470207
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA PERIGNY

Provider Business Mailing Address
First Line	:	5248 GLIMMER WAY
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95835-2628
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	126 N WEST ST
Second Line	:
City	:	WOODLAND
State	:	CA
Zip	:	95695-2614
Country	:	US
Telephone Number	:	530-662-1758
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/16/2026
Last Update Date	:	03/16/2026

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Directions to “ JESSICA PERIGNY ” Practice Location

Language	Start Address	Practice Location

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