Individual
HANNAH MELISSA PETERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
4301 W MARKHAM ST # 621-1, LITTLE ROCK, AR 72205-7199
(501) 526-6990
Mailing address
5 BELLE MEADOW LN, LITTLE ROCK, AR 72210-3715
(512) 579-7534
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
101705
TX
235Z00000X
Speech-Language Pathologist
Primary
200475
AR
Other
Enumeration date
05/22/2012
Last updated
03/21/2019
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