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

MR. THOMAS DAVID PETERSEN, MSCCCSLP

Active

MR. THOMAS DAVID PETERSEN, MSCCCSLP is a Speech, Language and Hearing Specialist healthcare provider located in DELAVAN, Wisconsin. NPI 1134249246 is currently active in the NPPES registry. Verify at CMS.

Speech, Language and Hearing Specialist · DELAVAN, WI

Registration Details

NPI Number
1134249246
Provider Type
Individual
Gender
Male
NPI Issued
Mar 30, 2007 (19.34793942592 yrs)
Last Updated
Jul 8, 2007
License
2444154 (WI)

Practice Information

Address
N4901 DAM RD
DELAVAN, WI, 531152927
Browse WI providers · Browse ZIP 53115
Phone
2627402170
Fax
2627407201
Primary Specialty
Speech, Language and Hearing Specialist
235Z00000X

Other Speech, Language and Hearing Specialist Providers in DELAVAN, WI

Name Credential NPI
JILL JACKSON M.S. 1114040276
MRS. KAMI MARIE STUDER MS/CCC-SLP 1538372743
ALLISON S MURRAY SLP 1205073640
MRS. JESSICA LYNNE FORMEA MS, CFY-SLP 1811221351
FRANCINE PEASE M.S. 1881921302
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.