Individual provider · Type 1 NPI
Dianne Peterson, OM
Speech/Language/Hearing Specialist/Technologist · Cookeville, TN
NPI number
1780907436
Active
Practice location
39 W Broad St Ste D
Cookeville, TN 38501-2573
Fax (931) 858-4490
Mailing address
39 West Broad Street Suite D
Cookeville, TN 38502
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech/Language/Hearing Specialist/Technologist Primary | 235500000X | None listed |
Speech/Language/Hearing Specialist/Technologist: General classification identifying individuals who are trained on a specific piece of equipment or technical procedure.
About NPI 1780907436
Dianne Peterson, OM's National Provider Identifier is 1780907436, issued on Mar 9, 2010. The primary taxonomy on file is Speech/Language/Hearing Specialist/Technologist (235500000X), and the practice location is in Cookeville, TN. The record was last updated on Mar 9, 2010.