National Provider Identifier

Cynthia Ann Peterson, MS, CCC-SLP

Cynthia Ann Peterson, MS, CCC-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Randolph, NY and a listed phone number of (716) 307-0386.

NPI 1265688246Randolph, NYSpeech-Language Pathologist

Profile Overview

NPI
1265688246
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
August 11, 2008
Last Updated
March 18, 2013

Practice Location

  • 2696 Lebanon RD
  • Randolph, NY 14772-9717

Phone: (716) 307-0386

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1265688246
Entity Type
Individual
Last Name
Peterson
First Name
Cynthia
Middle Name
Ann
Credential
MS, CCC-SLP
Mailing Street Address
2696 Lebanon RD
Mailing City
Randolph
Mailing State
NY
Mailing ZIP Code
14772-9717
Mailing Country
US
Mailing Phone
(716) 307-0386
Practice Street Address
2696 Lebanon RD
Practice City
Randolph
Practice State
NY
Practice ZIP Code
14772-9717
Practice Country
US
Practice Phone
(716) 307-0386
Enumeration Date
August 11, 2008
Last Updated
March 18, 2013
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)