Individual
LYNDA LEE PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA-CCC/SLP
Contact information
Practice address
1891 STATION PKWY NW, ANDOVER, MN 55304-3341
(763) 755-4275
(763) 755-4261
Mailing address
9912-300TH AVE. N., PRINCETON, MN 55371
(763) 389-5548
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6329
MN
Other
Enumeration date
10/31/2006
Last updated
02/26/2019
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