Individual
MEREDITH LEIGH PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC SLP
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 329-9144
Mailing address
14 BALTIMORE AVE, SOUTH PORTLAND, ME 04106-4420
(207) 329-9144
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP2208
ME
Other
Enumeration date
01/20/2020
Last updated
01/20/2020
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