Individual
AUDREY PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
12276 SAN JOSE BLVD STE 508, JACKSONVILLE, FL 32223-8618
(904) 886-3228
Mailing address
12276 SAN JOSE BLVD STE 508, JACKSONVILLE, FL 32223-8618
(904) 886-3228
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA15457
FL
235Z00000X
Speech-Language Pathologist
SZ7762
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018756200
—
FL
Enumeration date
08/24/2016
Last updated
09/30/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us