Petersen, Mary Alice
Petersen, Mary Alice is an sole proprietor health care provider with primary practice located at 104 Stampede St , Newcastle WY 82701-3037. 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. Petersen, Mary Alice can be contacted via phone (307) 746-4560.Contact Information
Primary practice address
104 Stampede St
Newcastle WY 82701-3037
Phone: (307) 746-4560
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | #SP-391 | Wyoming |
Profile Details
| NPI number | 1063661916 |
|---|---|
| LBN Legal business name | Petersen, Mary Alice |
| Credentials | MA, CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 16th, 2008 |
| Last updated | Feb 15th, 2017 - about 9 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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