MEDICARE: SAMANTHA MAREE 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
1	235Z00000X	Speech-Language Pathologist	14337017	CO

General Provider Information

NPI Number	:	1831790146
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAMANTHA MAREE PETERSON

Provider Business Mailing Address
First Line	:	40527 STEAMBOAT SPRINGS DR
Second Line	:
City	:	STEAMBOAT SPRINGS
State	:	CO
Zip	:	80487
Country	:	US
Telephone Number	:	813-486-7326
Fax Number	:

Provider Business Practice Location Address
First Line	:	40250 GIANT VIEW DR
Second Line	:
City	:	STEAMBOAT SPRINGS
State	:	CO
Zip	:	80487-9370
Country	:	US
Telephone Number	:	970-871-7599
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/03/2020
Last Update Date	:	09/17/2025

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Directions to “ SAMANTHA MAREE PETERSON ” Practice Location

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