Individual
CASSIDY PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
20 EXECUTIVE PARK DR, HENDERSONVILLE, TN 37075-3450
(615) 994-8430
(615) 994-8446
Mailing address
PO BOX 1637, SPRINGFIELD, TN 37172-1637
(615) 382-0500
(615) 382-0501
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9180
TN
Other
Enumeration date
06/18/2025
Last updated
06/18/2025
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