Individual
SHAINA PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1900 CENTRACARE CIR STE 1575, SAINT CLOUD, MN 56303-5000
(320) 229-4922
Mailing address
1900 CENTRACARE CIR STE 1575, SAINT CLOUD, MN 56303-5000
(320) 229-4922
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10368
MN
235Z00000X
Speech-Language Pathologist
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—
Other
Enumeration date
08/05/2020
Last updated
08/31/2021
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