Individual
MS. MONICA PETERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
2911 SANFORD CIR, LOVELAND, CO 80538-4929
(501) 416-4664
Mailing address
2911 SANFORD CIR, LOVELAND, CO 80538-4929
(501) 416-4664
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
09135533
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133710721
—
AR
Enumeration date
08/12/2006
Last updated
11/15/2023
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