Emily R Peters, MS CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Osceloa, IN
NPI 1992437792 · NPPES record last updated Jun 29, 2022
Key facts
- NPI
- 1992437792
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 22007795A (IN)
- Practice address
- 1415 LWW
Ste. M.
Osceloa, IN 46561 - Phone
- (574) 675-7767
- NPI assigned
- Jun 29, 2022
- Sex
- Female
- Sole proprietor
- No
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22007795A | IN | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 22007795A | IN | Yes |
Addresses
Primary practice location
1415 LWW
Ste. M.
Osceloa, IN 46561
Mailing address
4211 Governors Blvd Apt G
South Bend, IN 46637-4020
Phone (219) 688-5415
Other names
- Ms. Emily R Peters
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 29, 2022. 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.