Individual
ELIZABETH ANNE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
101 W WINDSOR RD, URBANA, IL 61802-6663
(217) 344-2144
Mailing address
101 W WINDSOR RD, URBANA, IL 61802-6663
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242002433
IL
Other
Enumeration date
02/26/2013
Last updated
02/26/2013
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