Keesha L. Peterson, M. S. CCC-SLP
NPI #1417147760 in Mount Carmel, Illinois
Provider Information
- NPI Number
- 1417147760
- Entity Type
- Individual
- Name
- Keesha L. Peterson, M. S. CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- M. S. CCC-SLP
- Enumeration Date
- Aug 1, 2007
- Last Updated
- Jul 11, 2012
Practice Location
- Address
- 1418 COLLEGE DRIVE
- Address 2
- PHYSICAL MEDICINE DEPARTMENT
- City
- Mount Carmel
- State
- Illinois
- ZIP Code
- 62863
- Phone
- (618) 263-6343
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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