MRS. Bonita Petersen, CCC-SLP

NPI #1326355728 in Hanover, Indiana

Provider Information

NPI Number
1326355728
Entity Type
Individual
Name
MRS. Bonita Petersen, CCC-SLP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Speech-Language Pathologist
Credential
CCC-SLP
Enumeration Date
Sep 7, 2010
Last Updated
Sep 7, 2010

Practice Location

Address
4571 W CHAIN MILL CT
State
Indiana
ZIP Code
47243-9173
Phone
(812) 866-2515

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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