Kelly Peterson, M.S. CCC-SLP
Speech-Language Pathologist, in Titusville, PA. Individual provider (NPI-1).
NPI number1982144366
StatusActive
Last updated in NPPESMar 3, 2017
Details
- NPI
- 1982144366
- Entity type
- Individual (NPI-1)
- Name
- Kelly Peterson
- Credential
- M.S. CCC-SLP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 3, 2017
- Last updated
- Mar 3, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | SL013217 | PA | Yes |
Practice location
81 E Dillon DrTitusville, PA 16354-2402
Phone 814-827-2727
Mailing address
8796 Route 219Brockway, PA 15824-6010
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