Individual
AMY PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
130 ATKINS DR, TEA, SD 57064-2082
(605) 366-0103
Mailing address
130 ATKINS DR, TEA, SD 57064-2082
(605) 366-0103
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
04/09/2008
Last updated
04/07/2015
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