Individual
CYNTHIA M PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
76 S 500 E, SLC, UT 84102-1044
(801) 210-0700
Mailing address
4570 S LOREN VON DR, SALT LAKE CITY, UT 84124-4730
(801) 274-0875
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
10/30/2019
Last updated
10/30/2019
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