Individual
SCOTT T PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SLP
Contact information
Practice address
6400 UPTOWN BLVD NE, ALBUQUERQUE, NM 87110-4202
(505) 855-9893
Mailing address
PO BOX 25704, ALBUQUERQUE, NM 87125-0704
(505) 855-9893
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SAH-2023-0091
NM
Other
Enumeration date
05/02/2025
Last updated
05/02/2025
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