Petersen, Danielle

Petersen, Danielle is an individual health care provider with primary practice located at 1 Childrens Way # 113 , Little Rock AR 72202-3500. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Petersen, Danielle can be contacted via phone (501) 364-1399.

Contact Information

Primary practice address
1 Childrens Way # 113 Little Rock AR 72202-3500
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 518158 Minnesota
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 202148 Arkansas

Profile Details

NPI number 1043977457
LBN Legal business name Petersen, Danielle
Credentials AU.D., CCC-A
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 19th, 2021
Last updated Oct 13th, 2023 - about 2 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 1043977457 NPPES
Arkansas Other 202148 AR STATE LICENSURE
Arkansas Other 518158 AR STATE LICENSURE

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