Peterson Speech Therapy
NPI #1497188387 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1497188387
- Entity Type
- Organization
- Organization Name
- Peterson Speech Therapy
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Aug 14, 2013
- Last Updated
- Aug 14, 2013
Practice Location
- Address
- 545 LINCOLN DR
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83401-4118
- Phone
- (208) 757-8553
Authorized Official
- Name
- MRS. MARISSA LYNNE PETERSON, MA/CCC-SLP
- Title
- SPEECH LANGUAGE PATHOLOGIST
- Phone
- (208) 757-8553
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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