Individual
MS. SHIRLEY ANN PELTIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
111 MAIN STREET, SELLS, AZ 85634
(520) 383-6772
Mailing address
PO BOX 323, SACATON, AZ 85247-0323
(520) 466-5054
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP2166
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
752809
—
AZ
Enumeration date
03/08/2007
Last updated
07/08/2007
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