Linda Peterson, MA/CCC SLP/AUD

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

LL 00002372 Issued in WA

Practice address

4030 86TH Ave SE
Suite F
Mercer Island, WA 98040-4198

Phone

(206) 232-8680

Fax

(206) 232-9377

NPI assigned

Jun 4, 2010

Last updated

Jun 4, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Children's Institute for Learning Differences

  • Speech-Language Pathologist
  • Mercer Island, WA
  • NPI 1881717312
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1275609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275609600000",
    "number": "1407176134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4030 86TH AVE SE",
            "address_2": "SUITE F",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980404198",
            "telephone_number": "206-232-8680",
            "fax_number": "206-232-9377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4030 86TH AVE SE",
            "address_2": "SUITE F",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980404198",
            "telephone_number": "206-232-8680",
            "fax_number": "206-232-9377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "LINDA",
        "credential": "MA/CCC SLP/AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-04",
        "last_updated": "2010-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL 00002372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karishma Patel, PT
• Alison F Paul, DPT(DOCTOR OF PHYSIC
• Alexandra Peterson
• Charles A Peterson, M.D.
• John Cleve Peterson III, M.D., M.P.H.
• Alex Toan Pham
• Carter Ryan Phillips, PT, DPT
• Edyth Darlene Phillips, M.D.
• Ryan Cory Phillips, RPH
• Dean Picozzi, MLP

• Speech-Language Pathologist in Mercer Island, WA
• Providers in Mercer Island, WA by specialty
• Speech-Language Pathologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.