Individual
MRS. STEPHANIE LYNN PETERSON-EICHHORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
4195 RIVER CLUB DR, CUMMING, GA 30041-9406
(734) 678-9042
Mailing address
4195 RIVER CLUB DR, CUMMING, GA 30041-9406
(734) 678-9042
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
007808
GA
Other
Enumeration date
04/02/2012
Last updated
05/07/2015
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