Individual provider · Type 1 NPI

Jennifer Shirley Peterson, CCC-SLP

Speech-Language Pathologist · San Diego, CA

NPI number 1740682376 Active

Practice location

3020 Childrens Way # MC5068
San Diego, CA 92123-4223

Call (858) 576-1700 Map

Mailing address

3003 Havencrest St
Herndon, VA 20171-1628

Other practice locations

  • 3003 Havencrest St, Herndon, VA 20171-1628 · (703) 577-6208

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist 235Z00000X2202011645 (VA)
Speech-Language Pathologist Primary 235Z00000X20479 (CA)

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 1740682376

Jennifer Shirley Peterson, CCC-SLP's National Provider Identifier is 1740682376, issued on Sep 26, 2014. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in San Diego, CA. The record was last updated on Oct 5, 2026.