Individual
BRIAN PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CCC-SLP
Contact information
Practice address
302 S GRAND AVE, IOWA CITY, IA 52242-1308
(319) 335-8703
(319) 335-8851
Mailing address
302 S GRAND AVE, IOWA CITY, IA 52242-1308
(319) 335-8703
(319) 335-8851
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
074669
IA
Other
Enumeration date
07/29/2025
Last updated
07/29/2025
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