Individual
EMMA PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19530 MT ZION PKWY, CORNELIUS, NC 28031-8398
(704) 997-2970
Mailing address
1327 BEXTON ST APT 307, CHARLOTTE, NC 28273-5096
(860) 391-1870
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/23/2022
Last updated
08/23/2022
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