Individual
MAKANI ELEANOR PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1401 GLACIER AVE, CAPITOL HEIGHTS, MD 20743-5135
(301) 817-0570
Mailing address
241 W 75TH ST APT 3, NEW YORK, NY 10023-1744
(715) 252-5303
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10798
MD
Other
Enumeration date
09/26/2023
Last updated
09/26/2023
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