Provider Demographics
NPI:1164586301
Name:PALERMO, JANNETTE LEE ANN (MS)
Entity Type:Individual
Prefix:
First Name:JANNETTE
Middle Name:LEE ANN
Last Name:PALERMO
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2665 7TH AVE
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95818-3901
Mailing Address - Country:US
Mailing Address - Phone:916-457-7508
Mailing Address - Fax:
Practice Address - Street 1:3180 ARDEN WAY
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95825-3701
Practice Address - Country:US
Practice Address - Phone:916-977-3277
Practice Address - Fax:916-977-3275
Is Sole Proprietor?:No
Enumeration Date:2006-12-21
Last Update Date:2022-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAU2121231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist