Sheri Nicole Peterson, M.A., CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Cicero, IN
NPI 1881063261 · NPPES record last updated Sep 16, 2015
Key facts
- NPI
- 1881063261
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 22003551A (IN)
- Practice address
- 22880 Anthony Rd
Cicero, IN 46034-9786 - Phone
- (317) 557-4192
- NPI assigned
- Sep 16, 2015
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22003551A | IN | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 22003551A | IN | Yes |
Addresses
Primary practice location
22880 Anthony Rd
Cicero, IN 46034-9786
Mailing address
22880 Anthony Rd
Cicero, IN 46034-9786
Phone (317) 557-4192
Other providers in Cicero, IN
- Teresa Ann Lewis
- Myrtie B Mays
- Matthew Milburn
- Noah'S World LLC
- Perceptive Psychological Services, LLP
- Jon Purkey
- Stephen K Shields
- Mary Angela Shirley
- Nancy Leah Shirley
- Lauren Christine Silva
All providers in Cicero, IN · Speech-Language Pathologist in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 16, 2015. 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.