Amy Petersen, MA, CCC-SLP

NPI #1306019484 in Tea, South Dakota

Provider Information

NPI Number: 1306019484
Entity Type: Individual
Name: Amy Petersen, MA, CCC-SLP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Speech-Language Pathologist
Credential: MA, CCC-SLP
Enumeration Date: Apr 9, 2008
Last Updated: Apr 7, 2015

Practice Location

Address: 130 ATKINS DR
City: Tea
State: South Dakota
ZIP Code: 57064-2082
Phone: (605) 366-0103

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Speech-Language Pathologist	235Z00000X	Primary

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