Individual provider · Type 1 NPI

Marissa Peterson, MA/CCC-SLP

Speech-Language Pathologist · Idaho Falls, ID

NPI number 1669633590 Active

Practice location

545 Lincoln Dr
Idaho Falls, ID 83401-4118

Call (208) 757-8553 Map

Mailing address

PO Box 2943
Idaho Falls, ID 83403-2943

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000XSLP-1685 (ID)

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 1669633590

Marissa Peterson, MA/CCC-SLP's National Provider Identifier is 1669633590, issued on Jun 23, 2008. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Idaho Falls, ID. The record was last updated on Jul 12, 2009.