Individual
LENA PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
76 PLAZA BLVD, KEARNEY, NE 68845-4841
(308) 237-5927
Mailing address
224 E SOUTH E ST, BROKEN BOW, NE 68822-2649
(308) 872-6421
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1672
NE
235Z00000X
Speech-Language Pathologist
3642
KS
Other
Enumeration date
10/17/2014
Last updated
10/18/2022
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