Petersen, Sandra Lee
Petersen, Sandra Lee is an sole proprietor health care provider with primary practice located at 805 W Stonemill Ave , Addison IL 60101-2210. 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, Sandra Lee can be contacted via phone (630) 628-4165.Contact Information
Primary practice address
805 W Stonemill Ave
Addison IL 60101-2210
Phone: (630) 628-4165
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 146.002406 | Illinois |
Profile Details
| NPI number | 1215162995 |
|---|---|
| LBN Legal business name | Petersen, Sandra Lee |
| Credentials | SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 24th, 2009 |
| Last updated | May 24th, 2009 - about 17 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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