Individual
DIANE PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.,CCC-SLP
Contact information
Practice address
790 NW 107TH AVE STE 209, MIAMI, FL 33172-3158
(786) 512-4793
(786) 441-4413
Mailing address
790 NW 107TH AVE STE 209, MIAMI, FL 33172-3158
(786) 512-4793
(786) 441-4413
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA7861
FL
Other
Enumeration date
05/16/2007
Last updated
07/31/2020
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