MRS. Kathleen Ann Petersen, MS, CCC-SLP
NPI #1972100626 in Minot, North Dakota
Provider Information
- NPI Number
- 1972100626
- Entity Type
- Individual
- Name
- MRS. Kathleen Ann Petersen, MS, CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- MS, CCC-SLP
- Enumeration Date
- Oct 6, 2020
- Last Updated
- Oct 6, 2020
Practice Location
- Address
- 407 3RD ST SE
- City
- Minot
- State
- North Dakota
- ZIP Code
- 58701-4470
- Phone
- (701) 857-5514
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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