Individual provider · Type 1 NPI

Katelyn Amanda Petersen

Speech-Language Assistant · San Tan Valley, AZ

NPI number 1497486153 Active

Practice location

43507 N Ironwood Dr
San Tan Valley, AZ 85140-9312

Mailing address

4502 W Alabama Ln
Queen Creek, AZ 85142-6157

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Assistant Primary 2355S0801XNone listed

Speech-Language Assistant: Definition to come...

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About NPI 1497486153

Katelyn Amanda Petersen's National Provider Identifier is 1497486153, issued on Jun 22, 2022. The primary taxonomy on file is Speech-Language Assistant (2355S0801X), and the practice location is in San Tan Valley, AZ. The record was last updated on Jun 22, 2022.