PETERSON SPEECH THERAPY NPI 1497188387

NPI Details

PETERSON SPEECH THERAPY is a speech language pathologist in Idaho Falls, ID. The provider is 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, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. PETERSON SPEECH THERAPY NPI is 1497188387. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

545 LINCOLN DR
IDAHO FALLS, ID
ZIP 83401-118
Phone: (208) 757-8553

The provider's authorized official is Marissa Lynne Peterson .
The authorized official title is Speech Language Pathologist and has the following contact phone number (208) 757-8553.

The enumeration date for this NPI number is 8/14/2013 and was last updated on 8/14/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: