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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. MARY ALICE PETERSEN, MA, CCC-SLP

Active Sole Proprietor

MRS. MARY ALICE PETERSEN, MA, CCC-SLP is a Speech, Language and Hearing Specialist healthcare provider located in NEWCASTLE, Wyoming. NPI 1063661916 is currently active in the NPPES registry. Verify at CMS.

Speech, Language and Hearing Specialist · NEWCASTLE, WY

Registration Details

NPI Number
1063661916
Provider Type
Individual
Gender
Female
NPI Issued
Sep 16, 2008 (17.86752010526 yrs)
Last Updated
Feb 15, 2017
License
#SP-391 (WY)
Sole Proprietor
Yes

Practice Information

Address
104 STAMPEDE ST
NEWCASTLE, WY, 827013037
Browse WY providers · Browse ZIP 82701
Phone
3077464560
Primary Specialty
Speech, Language and Hearing Specialist
235Z00000X

Other Speech, Language and Hearing Specialist Providers in NEWCASTLE, WY

Name Credential NPI
MARY M STREIB 1598913774
MRS. DEBRA JEAN DOEKSEN-GOULD MA CCC-SLP 1245587732
NICOLE ELIZABETH JORDAN SLP 1215288162
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.