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Shaina Peterson, SLP

Speech-Language Pathologist, in Saint Cloud, MN. Individual provider (NPI-1).

NPI number1174133003
StatusActive
Last updated in NPPESAug 31, 2021

Details

NPI
1174133003
Entity type
Individual (NPI-1)
Name
Shaina Peterson
Credential
SLP
Sex
Female
Sole proprietor
No
Enumeration date
Aug 5, 2020
Certification date
Aug 31, 2021
Last updated
Aug 31, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,10368MNYes
235Z00000X Speech-Language Pathologist,––

Practice location

1900 Centracare Cir Ste 1575
Saint Cloud, MN 56303-5000

Phone 320-229-4922

Mailing address

1900 Centracare Cir Ste 1575
Saint Cloud, MN 56303-5000

Phone 320-229-4922

Other practice locations

3060 Frontier Way S
Fargo, ND 58104-8909

Phone 701-232-2340

3401 45th St S
Fargo, ND 58104-8970

Phone 701-356-4384

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