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Search › Idaho › 235Z00000X

Marissa Peterson, MA/CCC-SLP

NPI 1669633590 · on the registry since 2008 · sole proprietor

Practice

Address
545 Lincoln Dr
Idaho Falls, ID 83401
Phone
(208) 757-8553
Organisation at this address
Peterson Speech Therapy
Peterson Therapy Services, Inc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2009-07-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho