Individual
LINDSEY PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
601 W MAIN ST, PORTLAND, IN 47371-1708
(260) 703-0267
Mailing address
601 W MAIN ST, PORTLAND, IN 47371-1708
(260) 703-0267
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22005179A
IN
Other
Enumeration date
10/12/2011
Last updated
10/12/2011
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