Individual provider · Type 1 NPI

Maxine R. Peterson, M.S. CCC-SLP

Speech-Language Pathologist · Bronx, NY

NPI number 1376321612 Active

Practice location

270 E 167th St
Bronx, NY 10456-4066

Fax (718) 293-9748

Mailing address

2556 Frederick Douglass Blvd Apt B
New York, NY 10030-3039

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist 235Z00000XNone listed
Speech-Language Pathologist Primary 235Z00000X033601 (NY)

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 1376321612

Maxine R. Peterson, M.S. CCC-SLP's National Provider Identifier is 1376321612, issued on Sep 18, 2023. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Bronx, NY. The record was last updated on Sep 18, 2023.