Lynda Lee Peterson in Andover - Speech-language Pathologist
Lynda Lee Peterson - NPI 1376629360
Lynda Lee Peterson is a Speech-language Pathologist in Andover, Minnesota. Lynda Lee Peterson practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Lynda Lee Peterson is 1376629360. The last update date is 2019-02-26.
Lynda Lee Peterson's current location address is 1891 Station Pkwy Nw, Andover, Minnesota. You can contact this provider via phone number 7637554275 and fax number 7637554261. The mailing address for Lynda Lee Peterson is 1891 Station Pkwy Nw, Andover, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lynda Lee Peterson |
|---|---|
| Address | 1891 Station Pkwy Nw, Andover, Minnesota |
| Phone Number | 7637554275 |
| Fax Number | 7637554261 |
| Sole Proprietor | Y |
| Credentials | MA-CCC/SLP |
NPI Number Detail
| NPI Number | 1376629360 |
|---|---|
| Provider Enumeration Date | 2006-10-31 |
| Last Updated Date | 2019-02-26 |
Provider Mailing Address Detail
| Address | 1891 Station Pkwy Nw |
|---|---|
| City | Andover |
| State | Minnesota (MN) |
| Post Code | 553043341 |
| Phone Number | 7637554275 |
| Fax Number | 7637554261 |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | 6329 |
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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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What is the unique provider identifier assigned to Lynda Lee Peterson?
The Lynda Lee Peterson has been issued the NPI (National Provider Identifier) 1376629360 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Lynda Lee Peterson?
The Lynda Lee Peterson is situated at 1891 Station Pkwy Nw, in the city of Andover, state of MN, with the zip code 553043341.
What is Lynda Lee Peterson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Lynda Lee Peterson is Speech-language Pathologist, and the taxonomy classification code that categorizes this area of expertise is 235Z00000X.
On what date did Lynda Lee Peterson receive its 1376629360 assignment from the Centers for Medicare & Medicaid Services?
The Lynda Lee Peterson was assigned its 1376629360 on 2006-10-31, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Lynda Lee Peterson's details last updated?
The information pertaining to the Lynda Lee Peterson, including its address, specialty, and other details, was most recently updated on 2019-02-26.