Individual
DR. DANIELLE PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D., CCC-A
Contact information
Practice address
1 CHILDRENS WAY # 113, LITTLE ROCK, AR 72202-3500
(501) 364-1399
Mailing address
1 CHILDRENS WAY # 113, LITTLE ROCK, AR 72202-3500
(501) 364-1399
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
202148
AR
231H00000X
Audiologist
518158
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202148
AR STATE LICENSURE
AR
01
—
518158
MN DEPT OF HEALTH HEALTH OCCUPATIONS PROGRAM
MN
Enumeration date
11/19/2021
Last updated
10/13/2023
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