Rochelle C Peterson, MA CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

1111 Catherine St
Ann Arbor, MI 48109-2054

Phone

(734) 615-0012

NPI assigned

May 11, 2007

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

Other names 1

• Mrs. Rochelle Peterson Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437364718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25650 WOODVILLA PL",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752046",
            "telephone_number": "248-423-0698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 CATHERINE ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481092054",
            "telephone_number": "734-615-0012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "ROCHELLE",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "MA CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROCHELLE",
            "last_name": "PETERSON",
            "prefix": "MRS.",
            "credential": "MA CCC SLP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Travis Scott Petersen, MD
• Carol Jean Peterson, RN, BSN
• Edwin Peter Peterson, MD
• Leah Claire Peterson, PA-C
• Marissa Peterson
• Sarah Repp Peterson, A.N.P.
• Timothy Alan Peterson, MD
• William Jon Porter Peterson, M.D.
• Mary Kint Petit, N.P.
• Madeline Petitpas

• Speech-Language Pathologist in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Speech-Language Pathologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.