Individual
KERRY PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC/SLP, BCBA
Contact information
Practice address
6625 DALY RD, WEST BLOOMFIELD, MI 48322-3410
(248) 737-3430
(248) 737-3433
Mailing address
4290 BOULDER POND DR, ANN ARBOR, MI 48108-8624
(248) 737-3430
(248) 737-3433
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
05/20/2011
Last updated
09/22/2016
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