Individual
NATALIE RUTH PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
314 S ELM AVE, LOGAN, IA 51546-1442
(402) 871-4001
Mailing address
2104 S 34TH ST, OMAHA, NE 68105-3122
(402) 871-4001
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
002224
IA
Other
Enumeration date
08/15/2012
Last updated
08/15/2012
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