Individual
MRS. BRIDGET PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S./CCC-SLP, TSSLD
Contact information
Practice address
664 ORANGEBURG ROAD, PEARL RIVER, NY 10965
(845) 735-3066
(845) 735-8243
Mailing address
410 SIERRA VISTA LANE, VALLEY COTTAGE, NY 10989
(845) 570-0416
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
031191
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/26/2020
Last updated
12/14/2022
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