Individual provider · Type 1 NPI

Mary Alice Petersen, MA, CCC-SLP

Speech-Language Pathologist · Newcastle, WY

NPI number 1063661916 Active

Practice location

104 Stampede St
Newcastle, WY 82701-3037

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X#SP-391 (WY)

Speech-Language Pathologist: 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. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonan…

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About NPI 1063661916

Mary Alice Petersen, MA, CCC-SLP's National Provider Identifier is 1063661916, issued on Sep 16, 2008. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Newcastle, WY. The record was last updated on Feb 15, 2017.