Individual
MRS. PAULA JEN PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP, L
Contact information
Practice address
2088 N 4TH ST, SEWARD, NE 68434-8146
(308) 430-0670
Mailing address
2088 N 4TH ST, SEWARD, NE 68434-8146
(308) 430-0670
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
690
NE
Other
Enumeration date
01/29/2015
Last updated
01/29/2015
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