Individual provider · Type 1 NPI

Wallis Petersen

Speech-Language Assistant · Tulsa, OK

NPI number 1407663735 Active

Practice location

7608 E 91st St
Tulsa, OK 74133-6014

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Assistant Primary 2355S0801XCF667 (OK)

Speech-Language Assistant: Definition to come...

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About NPI 1407663735

Wallis Petersen's National Provider Identifier is 1407663735, issued on Dec 11, 2024. The primary taxonomy on file is Speech-Language Assistant (2355S0801X), and the practice location is in Tulsa, OK. The record was last updated on Dec 11, 2024.