National Provider Identifier
Jamie Anne Peterson, CCC SLP
Jamie Anne Peterson, CCC SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Eden, NY and a listed phone number of (716) 992-3638.
Profile Overview
- NPI
- 1124500061
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- September 06, 2018
- Last Updated
- September 06, 2018
Practice Location
- 3000 Schoolview RD
- Eden, NY 14057-1117
Phone: (716) 992-3638
Mailing Address
- 3150 Schoolview RD
- Eden, NY 14057-1107
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1124500061
- Entity Type
- Individual
- Last Name
- Peterson
- First Name
- Jamie
- Middle Name
- Anne
- Credential
- CCC SLP
- Mailing Street Address
- 3150 Schoolview RD
- Mailing City
- Eden
- Mailing State
- NY
- Mailing ZIP Code
- 14057-1107
- Mailing Country
- US
- Mailing Phone
- (716) 992-3645
- Practice Street Address
- 3000 Schoolview RD
- Practice City
- Eden
- Practice State
- NY
- Practice ZIP Code
- 14057-1117
- Practice Country
- US
- Practice Phone
- (716) 992-3638
- Enumeration Date
- September 06, 2018
- Last Updated
- September 06, 2018
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)