Individual
JULIE LYNN PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2209 BARCHETTA DR, LAS VEGAS, NV 89134-6028
(702) 787-7839
Mailing address
2209 BARCHETTA DR, LAS VEGAS, NV 89134-6028
(702) 787-7839
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-1421
NV
Other
Enumeration date
01/28/2020
Last updated
01/28/2020
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