Donna Petersen
NPI #1003480856 in W Melbourne, Florida
Provider Information
- NPI Number
- 1003480856
- Entity Type
- Individual
- Name
- Donna Petersen
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- May 17, 2021
- Last Updated
- May 17, 2021
Practice Location
- Address
- 2706 BRADFORDT DR
- City
- W Melbourne
- State
- Florida
- ZIP Code
- 32904-7321
- Phone
- (321) 586-6488
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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