Individual
ANNA PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1250 W BROADWAY AVE, MINNEAPOLIS, MN 55411-2533
(612) 668-0254
Mailing address
1250 W BROADWAY AVE, MINNEAPOLIS, MN 55411-2533
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
MN
Other
Enumeration date
03/20/2026
Last updated
03/20/2026
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