Individual
JULIE MARIE PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AUD, CCC-A CO#829
Contact information
Practice address
6121 SECREST CT, ARVADA, CO 80403-7501
(520) 425-5766
Mailing address
6121 SECREST CT, ARVADA, CO 80403-7501
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
829
CO
231H00000X
Audiologist
DA985
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
427569
—
AZ
Enumeration date
08/16/2007
Last updated
01/21/2017
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