| Doctor Name: | LINDA PETERSON |
| NPI Number: | 1407176134 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA/CCC SLP/AUD |
| License Number: | LL 00002372 |
| Business Practice Address: | 4030 86th Ave Se Suite F Mercer Island, WA - 980404198 |
| Business Phone Number: | 2062328680 |
| Business Fax Number: | 2062329377 |
| Mailing Address: | 4030 86th Ave Se, Suite F MERCER ISLAND |
| State: | WA |
| Postal Code: | 980404198 |
| Phone Number: | 2062328680 |
| Fax Number: | 2062329377 |
| NPI Enumeration Date: | 06/04/2010 |
| NPI Last Update Date: | 06/04/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | LL 00002372 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| 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 |