Individual provider · Type 1 NPI

Audrey Petersen, CCC-SLP

Speech-Language Pathologist · Jacksonville, FL

NPI number 1336694892 Active

Practice location

12276 San Jose Blvd Ste 508
Jacksonville, FL 32223-8618

Call (904) 886-3228 Map

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist 235Z00000XSZ7762 (FL)
Speech-Language Pathologist Primary 235Z00000XSA15457 (FL)

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 1336694892

Audrey Petersen, CCC-SLP's National Provider Identifier is 1336694892, issued on Aug 24, 2016. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Jacksonville, FL. The record was last updated on Sep 30, 2021.