Individual
AMY KATHLEEN PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
3515 CENTRAL AVE, CHEYENNE, WY 82001-1320
(307) 214-4177
Mailing address
3515 CENTRAL AVE, CHEYENNE, WY 82001-1320
(307) 214-4177
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-582
WY
Other
Enumeration date
07/24/2012
Last updated
07/24/2012
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