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NPI Code Detail

MEDICARE: MEGAN PAIGE PETERSON

MEDICARE:   MEGAN PAIGE PETERSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language PathologistSLP8325AZ

General Provider Information

NPI Number : 1487096533
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGAN PAIGE PETERSON
Provider Business Mailing Address
First Line : 222 W THOMAS RD STE 401
Second Line :
City : PHOENIX
State : AZ
Zip : 85013-4423
Country : US
Telephone Number : 602-406-3000
Fax Number :
Provider Business Practice Location Address
First Line : 222 W THOMAS RD STE 401
Second Line :
City : PHOENIX
State : AZ
Zip : 85013-4423
Country : US
Telephone Number : 602-406-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2013
Last Update Date : 07/17/2013

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Directions to “ MEGAN PAIGE PETERSON ” Practice Location

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