Individual provider · Type 1 NPI

Kylie Peterson, MA CCC-SLP

Speech/Language/Hearing Specialist/Technologist · El Reno, OK

NPI number 1033802426 Active

Practice location

1609 W Elm St Ste B
El Reno, OK 73036-4261

Fax (405) 467-6100

Mailing address

1824 Commons Cir Ste B
Yukon, OK 73099-9538

Specialties and licenses

TaxonomyCodeLicense
Speech/Language/Hearing Specialist/Technologist Primary 235500000XNone listed
Speech-Language Pathologist 235Z00000XNone listed

Speech/Language/Hearing Specialist/Technologist: General classification identifying individuals who are trained on a specific piece of equipment or technical procedure.

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About NPI 1033802426

Kylie Peterson, MA CCC-SLP's National Provider Identifier is 1033802426, issued on May 31, 2023. The primary taxonomy on file is Speech/Language/Hearing Specialist/Technologist (235500000X), and the practice location is in El Reno, OK. The record was last updated on Sep 12, 2024.