Doctor Name: | DENISE LYNN PETERS |
NPI Number: | 1073753331 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS CCC-SLP |
License Number: | SL009033 |
Business Practice Address: | 1173 Ishman Rd Brookville, PA - 158256845 |
Business Phone Number: | 8148495648 |
Business Fax Number: | |
Mailing Address: | 1173 Ishman Rd, BROOKVILLE |
State: | PA |
Postal Code: | 158256845 |
Phone Number: | 8148495648 |
Fax Number: | |
NPI Enumeration Date: | 02/26/2009 |
NPI Last Update Date: | 02/26/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SL009033 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |