MRS. Mary Alice Petersen, MA, CCC-SLP
NPI #1063661916 in Newcastle, Wyoming
Provider Information
- NPI Number
- 1063661916
- Entity Type
- Individual
- Name
- MRS. Mary Alice Petersen, MA, CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- MA, CCC-SLP
- Enumeration Date
- Sep 16, 2008
- Last Updated
- Feb 15, 2017
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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