Individual
TAYLER SIERRA PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
21630 N 19TH AVE STE B3, PHOENIX, AZ 85027-2717
(602) 726-2300
Mailing address
537 W SIMMONS RD # B, TUCSON, AZ 85705-2708
(520) 237-7775
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA12062
AZ
Other
Enumeration date
09/06/2019
Last updated
09/06/2019
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