Patricia Diane Petersen in Phoenix - Speech-language Pathologist
Patricia Diane Petersen - NPI 1417052028
Patricia Diane Petersen is a Speech-language Pathologist in Phoenix, Arizona. Patricia Diane Petersen practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Patricia Diane Petersen is 1417052028. The last update date is 2007-07-09.
Patricia Diane Petersen's current location address is 15002 N 32nd St, Phoenix, Arizona. You can contact this provider via phone number 6028675223. The mailing address for Patricia Diane Petersen is 15002 N 32nd St, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Patricia Diane Petersen |
|---|---|
| Address | 15002 N 32nd St, Phoenix, Arizona |
| Phone Number | 6028675223 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1417052028 |
|---|---|
| Provider Enumeration Date | 2006-09-14 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 15002 N 32nd St |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850324441 |
| Phone Number | 6028675223 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | SLP1396 |
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Definition: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Spe |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 888232 | AZ | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Patricia Diane Petersen by the Centers for Medicare & Medicaid Services?
The Patricia Diane Petersen has been assigned the NPI (National Provider Identifier) 1417052028 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Patricia Diane Petersen is geographically located?
The Patricia Diane Petersen is physically situated at the following location: 15002 N 32Nd St, Phoenix, AZ, 850324441.
What is the Patricia Diane Petersen's specialty and taxonomy code?
The Patricia Diane Petersen's specialty is Speech-language Pathologist, and the corresponding taxonomy code is 235Z00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1417052028 to Patricia Diane Petersen?
The Centers for Medicare & Medicaid Services assigned the 1417052028 to Patricia Diane Petersen on 2006-09-14.
When was the information pertaining to Patricia Diane Petersen most recently updated or revised?
The details related to Patricia Diane Petersen, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-09.