Courtney J Petersen in Mesa - Speech-language Pathologist
Courtney J Petersen - NPI 1215121991
Courtney J Petersen is a Speech-language Pathologist in Mesa, Arizona. Courtney J Petersen practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Courtney J Petersen is 1215121991. The last update date is 2007-09-05.
Courtney J Petersen's current location address is 1025 N Country Club Dr, Mesa, Arizona. You can contact this provider via phone number 4804720502 and fax number 4804720705. The mailing address for Courtney J Petersen is 1025 N Country Club Dr, Mesa, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Courtney J Petersen |
|---|---|
| Address | 1025 N Country Club Dr, Mesa, Arizona |
| Phone Number | 4804720502 |
| Fax Number | 4804720705 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1215121991 |
|---|---|
| Provider Enumeration Date | 2007-09-05 |
| Last Updated Date | 2007-09-05 |
Provider Mailing Address Detail
| Address | 1025 N Country Club Dr |
|---|---|
| City | Mesa |
| State | Arizona (AZ) |
| Post Code | 852013307 |
| Phone Number | 4804720502 |
| Fax Number | 4804720705 |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | SLPL5634 |
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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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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Courtney J Petersen by the Centers for Medicare & Medicaid Services?
The Courtney J Petersen has been issued the NPI (National Provider Identifier) 1215121991, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Courtney J Petersen's facilities are geographically located?
The facilities of Courtney J Petersen are physically situated at the following location: 1025 N Country Club Dr, Mesa, AZ, 852013307.
What is Courtney J Petersen's specialized field of practice, and what is the corresponding taxonomy classification code?
The Courtney J Petersen's area of specialization is Speech-language Pathologist, and the corresponding taxonomy code that categorizes this field of practice is 235Z00000X.
On what date did the Courtney J Petersen receive its 1215121991 assignment from the Centers for Medicare & Medicaid Services?
The Courtney J Petersen was assigned its 1215121991 by the Centers for Medicare & Medicaid Services on 2007-09-05.
As of what date were the details related to Courtney J Petersen most recently updated or revised?
The information pertaining to Courtney J Petersen, including its address, specialty, and other relevant details, was last updated or revised on 2007-09-05.
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