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Individual

AMANDA PETERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1122 STONERIDGE DR STE 2, BOZEMAN, MT 59718-8124
(406) 219-2114
Mailing address
408 BRIDGER VIEW DR, BELGRADE, MT 59714-3810
(803) 645-4596

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-SP-LIC-9715
MT
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/11/2020
Last updated
02/27/2026
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