MR. Thomas David Petersen, MSCCCSLP
NPI #1134249246 in Delavan, Wisconsin
Provider Information
- NPI Number
- 1134249246
- Entity Type
- Individual
- Name
- MR. Thomas David Petersen, MSCCCSLP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Credential
- MSCCCSLP
- Enumeration Date
- Mar 30, 2007
- Last Updated
- Jul 8, 2007
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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