Peterson, Adrienne
Peterson, Adrienne is an sole proprietor health care provider with primary practice located at 13302 47Th Ave Se , Mill Creek WA 98012-8970. 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. Peterson, Adrienne can be contacted via phone (509) 720-7842.Contact Information
Primary practice address
13302 47Th Ave Se
Mill Creek WA 98012-8970
Phone: (509) 720-7842
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | LL60320131 | Washington |
Profile Details
| NPI number | 1730221391 |
|---|---|
| LBN Legal business name | Peterson, Adrienne |
| Credentials | MS, CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 12th, 2007 |
| Last updated | Nov 17th, 2015 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730221391 | NPPES |
| Idaho | Other | 000010155758 | BLUE SHIELD PROVIDER NUMB |
| Idaho | Other | SPL02 | BLUE SHIELD PROVIDER NUMB |
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