Individual
MRS. BARBARA PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
121 JACKSON AVE, MINEOLA, NY 11501-2709
(516) 237-2900
Mailing address
121 JACKSON AVE, MINEOLA, NY 11501-2709
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
015997-1
NY
251300000X
Local Education Agency (LEA)
Primary
015997-1
NY
Other
Enumeration date
01/21/2011
Last updated
11/08/2011
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