Individual
BRENDA PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
601 UNIVERSE BLVD, JUNO BEACH, FL 33408-2444
(561) 627-3800
Mailing address
4330 LILAC ST APT J, PALM BEACH GARDENS, FL 33410-4649
(385) 414-5022
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA15746
FL
Other
Enumeration date
08/29/2018
Last updated
08/29/2018
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