Individual
DESTINEY PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
200 E DEBBIE LN, MANSFIELD, TX 76063-9211
(817) 225-2912
Mailing address
200 E DEBBIE LN, MANSFIELD, TX 76063-9211
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
102001
TX
Other
Enumeration date
09/22/2014
Last updated
09/22/2014
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