Doctor Name: | DR. LAURA N. PETERSON |
NPI Number: | 1144344144 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | EDD, CCC-SPL, C-AVT |
License Number: | SP00664 |
Business Practice Address: | 80 Ann Dr East Greenwich, RI - 028181124 |
Business Phone Number: | 4018867755 |
Business Fax Number: | 4018867755 |
Mailing Address: | 80 Ann Dr, EAST GREENWICH |
State: | RI |
Postal Code: | 028181124 |
Phone Number: | 4018867755 |
Fax Number: | 4018867755 |
NPI Enumeration Date: | 03/17/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP00664 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | RI |
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 |