Individual
KAYLEE M PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4150 E WINGED FOOT PL, CHANDLER, AZ 85249-7279
(619) 490-6179
Mailing address
4150 E WINGED FOOT PL, CHANDLER, AZ 85249-7279
(619) 490-6179
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA12558
AZ
Other
Enumeration date
10/06/2020
Last updated
10/06/2020
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