Individual
ANNA PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC/SLP
Contact information
Practice address
10435 DOWNSVILLE PIKE, HAGERSTOWN, MD 21740-1732
(301) 766-8200
Mailing address
18923 CROFTON RD, HAGERSTOWN, MD 21742-2733
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
04722
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245314020
—
MD
Enumeration date
10/25/2006
Last updated
02/28/2019
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