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Marissa Peterson, MA/CCC-SLP

NPI 1669633590 · on the registry since 2008 · sole proprietor

Practice

Address: 545 Lincoln Dr
Idaho Falls, ID 83401
Phone: (208) 757-8553
Organisation at this address: Peterson Speech Therapy
Peterson Therapy Services, Inc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: Speech-Language Pathologist
235Z00000X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2009-07-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho