Individual
MELISSA D PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, SP-LIC
Contact information
Practice address
708 BROADWATER AVE, BILLINGS, MT 59101-2710
(406) 259-1680
(406) 259-1777
Mailing address
708 BROADWATER AVE, BILLINGS, MT 59101-2710
(406) 259-1680
(406) 259-1777
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-SP-LIC-6583
MT
Other
Enumeration date
12/19/2015
Last updated
12/12/2019
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