Individual
LISA JANE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
3430 BURNET AVE # 4011, CINCINNATI, OH 45229-2833
(513) 803-2270
Mailing address
3430 BURNET AVE # 4011, CINCINNATI, OH 45229-2833
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
01/07/2019
Last updated
01/07/2019
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