Peterson Speech Therapy

LBN: Peterson Speech Therapy
Peterson Speech Therapy is an health care organization with primary practice located at 545 Lincoln Dr , Idaho Falls ID 83401-4118. The organization recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as the primary health care specialty. Peterson Speech Therapy can be contacted via phone (208) 757-8553, or through Peterson, Marissa Lynne via phone (208) 757-8553.

Contact Information

Primary practice address
545 Lincoln Dr Idaho Falls ID 83401-4118
Phone: (208) 757-8553
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Peterson, Marissa Lynne MA/CCC-SLP
Phone: (208) 757-8553

Health care specialties

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

Profile Details

NPI number 1497188387
LBN Legal business name Peterson Speech Therapy
DBA Doing business as
Authorized official Peterson, Marissa Lynne MA/CCC-SLP
Entity Organization
Organization subpart 1 No
Enumeration date Aug 14th, 2013
Last updated Aug 14th, 2013 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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