Kristen D Peterson

NPI 1700065547 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1700065547
Gender Female
Enumeration Date 10/29/2007
Last Updated 10/29/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1800 PENN ST
SUITE 12
MELBOURNE FL, 32901-2625, US
Phone (321) 768-6800
Fax (321) 768-6858
Business Location
1800 PENN ST
SUITE 12
MELBOURNE FL, 32901-2625, US
Phone (321) 768-6800
Fax (321) 768-6858
Toxanomy
Taxonomy Code 235Z00000X
License State Florida
License Number SZ4385
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According to our database, Kristen D Peterson NPI is 1700065547, taxonomy code is 235Z00000X and license number is SZ4385, license state is located at Florida. Kristen D Peterson physically located at 1800 Penn St, Melbourne FL, 32901-2625. NPI Number Kristen D Peterson has the Individual type.

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1700065547 NPI number is provided on an as is basis without warranty of any kind. 1700065547 is maintained by the National Plan & Provider Enumeration System. The contents of Kristen D Peterson are for informational purposes only.