Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jerry A Perez, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1093845166

Jerry A Perez, CCC-SLP is a Speech-Language Pathologist in Woodside, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2007
What do these letters mean?
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

3962 64th St
Woodside, NY 11377-3651
Phone: (347) 262-3626
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 021185 (NY)

Record details

NPI number1093845166
Entity typeIndividual (Type 1)
GenderMale
Credentials CCC-SLP
Sole proprietorYes
NPI enumeratedMarch 6, 2007
Last updated in NPPESSeptember 14, 2011
Mailing addressPo Box 770962, Woodside, NY 11377-0962

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