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

KALLIE PETERSON

Active Sole Proprietor

KALLIE PETERSON is a Speech, Language and Hearing Specialist healthcare provider located in BROOKLYN PARK, Minnesota. NPI 1891368395 is currently active in the NPPES registry. Verify at CMS.

Speech, Language and Hearing Specialist · BROOKLYN PARK, MN

Registration Details

NPI Number
1891368395
Provider Type
Individual
Gender
Female
NPI Issued
Jul 21, 2021 (5.0283387244854 yrs)
Last Updated
Sep 25, 2024
License
14336560 (CO)
Sole Proprietor
Yes

Practice Information

Address
9751 REGENT AVE N
BROOKLYN PARK, MN, 554431402
Browse MN providers · Browse ZIP 55443
Phone
7633155340
Primary Specialty
Speech, Language and Hearing Specialist
235Z00000X

Other Speech, Language and Hearing Specialist Providers in BROOKLYN PARK, MN

Name Credential NPI
PATRICIA L BLOOM 1386862530
LIBBY BROCK CHEOLIS MA, CCC-SLP 1689850406
BRIANNA CATHERINE HUNTER M.S. CF-SLP 1063258697
LILLIAN EGAN 1992691703
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.