| Doctor Name: | MR. JOSHUA PETERSON |
| NPI Number: | 1598161929 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | H.I.S. |
| License Number: | 17001427A |
| Business Practice Address: | 5620 Crawfordsville Rd Ste Q Speedway, IN - 462243726 |
| Business Phone Number: | 3173888144 |
| Business Fax Number: | |
| Mailing Address: | 4500 Hugh Howell Rd Ste 340, TUCKER |
| State: | GA |
| Postal Code: | 300844719 |
| Phone Number: | 7706969239 |
| Fax Number: | 6786912187 |
| NPI Enumeration Date: | 11/12/2014 |
| NPI Last Update Date: | 08/19/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 237700000X |
| License Number: | 17001427A |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IN |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Hearing Instrument Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society |