Peterson, Mariah Jean

Peterson, Mariah Jean is an individual health care provider with primary practice located at 1252 S Avondale Blvd , Avondale AZ 85323-8900. 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, Mariah Jean can be contacted via phone (623) 936-6581.

Contact Information

Primary practice address
1252 S Avondale Blvd Avondale AZ 85323-8900
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X TSLP9470 Arizona

Profile Details

NPI number 1518343300
LBN Legal business name Peterson, Mariah Jean
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2015
Last updated Aug 4th, 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.

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