Lacie Peterson Speech and Language LLC
Organization Active NPI Speech-Language Pathologist · Dayton, MN
NPI 1316728231 · NPPES record last updated Oct 6, 2023
Key facts
- NPI
- 1316728231
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Legal business name
- LACIE PETERSON SPEECH AND LANGUAGE LLC
- Practice address
- 12700 Oakhill TRL
Dayton, MN 55327-9719 - Phone
- (651) 380-0473
- NPI assigned
- Oct 6, 2023
- Organization subpart
- No
Authorized official
- Name
- Lacie Peterson
- Title
- Owner
- Phone
- (763) 445-9873
Practitioners 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist |
235Z00000X | Yes |
Addresses
Primary practice location
12700 Oakhill TRL
Dayton, MN 55327-9719
Mailing address
12700 Oakhill TRL
Dayton, MN 55327-9719
Phone (651) 380-0473
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All providers in Dayton, MN · Speech-Language Pathologist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 6, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.