Individual
HEIDI PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
20815 N 25TH PL STE 105, PHOENIX, AZ 85050-4617
(602) 369-0660
Mailing address
20815 N 25TH PLACE #105, PHOENIX, AZ 85050
(602) 369-0660
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP6013
AZ
Other
Enumeration date
09/18/2008
Last updated
09/18/2008
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