Individual provider · Type 1 NPI

Krista Kelly Petersen

Speech-Language Pathologist · Edina, MN

NPI number 1821668245 Active

Practice location

6200 Xerxes Ave S
Edina, MN 55423-1033

Call (952) 925-8500 Map

Mailing address

104 Fairway Dr
Glencoe, MN 55336-3214

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X8918 (MN)

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 1821668245

Krista Kelly Petersen's National Provider Identifier is 1821668245, issued on Jun 28, 2021. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Edina, MN. The record was last updated on Jun 28, 2021.