Petersen, Thomas David

Petersen, Thomas David is an individual health care provider with primary practice located at N4901 Dam Rd , Delavan WI 53115-2927. He recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as his primary health care specialty. Petersen, Thomas David can be contacted via phone (262) 740-2170.

Contact Information

Primary practice address
N4901 Dam Rd Delavan WI 53115-2927
Phone: (262) 740-2170
Fax: (262) 740-7201
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 2444154 Wisconsin

Profile Details

NPI number 1134249246
LBN Legal business name Petersen, Thomas David
Credentials MSCCCSLP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2007
Last updated Jul 8th, 2007 - about 18 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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