Peterson, Sally Ann

Peterson, Sally Ann is an individual health care provider with primary practice located at 2705 Enloe St , Hudson WI 54016-8173. 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, Sally Ann can be contacted via phone (715) 386-2128.

Contact Information

Primary practice address
2705 Enloe St Hudson WI 54016-8173
Phone: (715) 386-2128
Fax: (715) 386-6119
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 1768 Wisconsin

Profile Details

NPI number 1568568442
LBN Legal business name Peterson, Sally Ann
Credentials MS, CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2006
Last updated Jul 9th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1568568442 NPPES
Other 641671046996 PREFERRED ONE
Other 7038035 PREFERRED ONE
Other 98G68PE PREFERRED ONE
MEDICAID 42626000 PREFERRED ONE
Other 4607091 PREFERRED ONE
Other 15665 PREFERRED ONE

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