Doctor Name: | DARLENE C PETERSON |
NPI Number: | 1205094364 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | 213 |
Business Practice Address: | 50 27th St W Ste A Billings, MT - 591028602 |
Business Phone Number: | 4062591680 |
Business Fax Number: | 4062591777 |
Mailing Address: | 3303 Flamingo Way, BILLINGS |
State: | MT |
Postal Code: | 591061436 |
Phone Number: | 4066561911 |
Fax Number: | |
NPI Enumeration Date: | 05/27/2008 |
NPI Last Update Date: | 05/27/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 213 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
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 |