Peters, Amanda Jean

Peters, Amanda Jean is an individual health care provider with primary practice located at 128 E Olin Ave , Madison WI 53713-1467. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Peters, Amanda Jean can be contacted via phone (608) 252-1320.

Contact Information

Primary practice address
128 E Olin Ave Madison WI 53713-1467
Phone: (608) 252-1320
Fax: (608) 252-1333
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 116037 Texas

Profile Details

NPI number 1104436708
LBN Legal business name Peters, Amanda Jean
Credentials M.A., CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2020
Last updated Nov 17th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104436708 NPPES
Wisconsin Other 6093 WI DEPARTMENT OF SAFETY AND PROFESSIONAL SERVICES

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