Doctor Name: | MS. MARY LOVE PETERS |
NPI Number: | 1619135399 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.,S., CCC-SLP |
License Number: | 2597 |
Business Practice Address: | 9214 Eminence Ct Prospect, KY - 400597602 |
Business Phone Number: | 5024254283 |
Business Fax Number: | |
Mailing Address: | 9214 Eminence Ct, PROSPECT |
State: | KY |
Postal Code: | 400597602 |
Phone Number: | 5024254283 |
Fax Number: | |
NPI Enumeration Date: | 05/29/2008 |
NPI Last Update Date: | 04/11/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2597 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AL |
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 |