Kristen K Petersen in Burlington - Speech-language Pathologist
Kristen K Petersen - NPI 1316095649
Kristen K Petersen is a Speech-language Pathologist in Burlington, Wisconsin. Kristen K Petersen practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Kristen K Petersen is 1316095649. The last update date is 2007-07-09.
Kristen K Petersen's current location address is 31531 Bear Arbor Dr, Burlington, Wisconsin. You can contact this provider via phone number 2626530850. The mailing address for Kristen K Petersen is 31531 Bear Arbor Dr, Burlington, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kristen K Petersen |
|---|---|
| Address | 31531 Bear Arbor Dr, Burlington, Wisconsin |
| Phone Number | 2626530850 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | SLP |
NPI Number Detail
| NPI Number | 1316095649 |
|---|---|
| Provider Enumeration Date | 2007-01-05 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 31531 Bear Arbor Dr |
|---|---|
| City | Burlington |
| State | Wisconsin (WI) |
| Post Code | 531057200 |
| Phone Number | 2626530850 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | 2668-154 |
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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 |
|---|---|---|---|
| 42568600 | WI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Kristen K Petersen by the Centers for Medicare & Medicaid Services?
The Kristen K Petersen has been assigned the NPI (National Provider Identifier) 1316095649. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Kristen K Petersen?
The Kristen K Petersen is situated at 31531 Bear Arbor Dr, in the city of Burlington, state of WI, with the zip code 531057200.
What is Kristen K Petersen'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 Kristen K Petersen is Speech-language Pathologist, and the taxonomy classification code that categorizes this area of expertise is 235Z00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1316095649 to Kristen K Petersen?
The Centers for Medicare & Medicaid Services assigned the 1316095649 to Kristen K Petersen on 2007-01-05.
As of what date were the Kristen K Petersen's details last updated?
The information pertaining to the Kristen K Petersen, including its address, specialty, and other details, was most recently updated on 2007-07-09.