Individual
NINA E. PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SP
Contact information
Practice address
4541 LAKE WASHINGTON BLVD NE, KIRKLAND, WA 98033-7628
(425) 803-1886
Mailing address
4541 LAKE WASHINGTON BLVD NE, KIRKLAND, WA 98033-7628
(425) 803-1886
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
WA
Other
Enumeration date
08/20/2007
Last updated
08/20/2007
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