Individual
PATRICIA EMMERLING PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
555 WARREN RD, ITHACA, NY 14850-1862
(607) 487-1551
Mailing address
555 WARREN RD, ITHACA, NY 14850-0000
(607) 487-1551
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
—
NY
Other
Enumeration date
06/11/2010
Last updated
07/21/2022
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