SANDRA LEE PETERSEN


Address: 805 W Stonemill Ave, Addison, IL 60101-2210
Phone: 6306284165

SANDRA LEE PETERSEN (NPI# 1215162995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1215162995
Entity Type Individual
Full Name SANDRA LEE PETERSEN
Credential SLP
Practice Address 805 W Stonemill Ave
Addison
IL 60101-2210
Practice Telephone 6306284165
Mailing Telephone 6306284165
Enumeration Date 2009-05-24
Last Update Date 2009-05-24
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 235Z00000X Speech-Language Pathologist 146.002406 IL Speech, Language and Hearing Service Providers

Other Providers SANDRA PETERSEN

NPI Name Taxonomy Address Enumeration
1821070368 Sandra E Petersen Marriage & Family Therapist 43613 Florida Ave, Suite K, Hemet, CA 92544-7202 2005-11-18
1285171801 Sandra Mary Bednarz Petersen Counselor 1900 Ogden Ave, Aurora, IL 60504-4273 2017-01-20
1568916260 Sandra Petersen Marriage & Family Therapist 25 N 100 E Ste 102, St George, UT 84770-7369 2016-08-10
1407074024 Sandra M. Petersen Pharmacist 13400 E Shea Blvd, Scottsdale, AZ 85259-5404 2007-04-20
1548396849 Sandra Petersen Nurse Practitioner 6800 West Loop S, Suite 180, Bellaire, TX 77401-4528 2007-02-23
1295795672 Sandra Rose Petersen Obstetrics & Gynecology 4060 4th Ave, Suite 610, San Diego, CA 92103-2116 2006-03-28

Office Location

Street Address 805 W STONEMILL AVE
City ADDISON
State IL
Zip Code 60101-2210

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912445800 Allure Skin and Laser Nurse Practitioner 240 E Lake Street, Addison, IL 60101 2017-02-10
1912444662 Iulia Kaulinite Registered Nurse 1845 East Army Trail Road, Addison, IL 60101 2017-01-19
1164891727 Sonic Imaging Inc Clinic/Center 4n277 9th Ave, Addison, IL 60101 2015-09-24
1881001147 Evelina Rodriguez Interpreter 102 S. Grant Drive, Addison, IL 60101 2014-07-18
1821426867 Carrie Lyne M Mathiesen Physical Medicine & Rehabilitation 2375 S. Randall Rd, Algonquin, IL 60101 2013-10-30
1972949634 Vascular Diagnostic LLC Clinic/Center 2166, W Silverleaf Ln, Addison, IL 60101 2013-05-21
1134401409 Colleen Ann O'brien Occupational Therapist 222 North Kennedy Dr., Addison, IL 60101 2011-09-13
1962700096 Pharma Medical Supply Inc Durable Medical Equipment & Medical Supplies 970 Lake St Suite 109, Roselle, IL 60101 2011-03-15
1235372947 Nancy M Ngo Dentist 200 W. Lake Street, Addison, IL 60101 2009-04-10
1326288275 Familia Dental Dentist 200 West Lake Street, Addison, IL 60101 2009-03-04
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Taxonomy Information

Taxonomy Code 235Z00000X
Grouping Speech, Language and Hearing Service Providers
Classification Speech-Language Pathologist

Taxonomy Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407466105 Sierra Smith Speech-Language Pathologist 1233 W Holtz Ave, Addison, IL 60101-2161 2020-08-06
1073143772 Naomi Grace Moats Speech-Language Pathologist 5820 Addison Rd, Addison, TX 75001 2020-01-22
1235782251 Aliah T Green Speech-Language Pathologist 15820 Addison Road, Addison, TX 75001 2019-07-18
1598273096 Laura K Weinbrenner Speech-Language Pathologist 213 N Lombard Rd, Addison, IL 60101-1906 2018-01-18
1053820944 Amanda Zerull Speech-Language Pathologist 720 N Lincoln Ave, Addison, IL 60101-2573 2017-09-24
1497280275 Kelly Kent Speech-Language Pathologist 1012 W Sable Dr, Addison, IL 60101-1136 2017-04-28
1477905743 Alysia Olvera Speech-Language Pathologist 1210 N Foxdale Dr Unit 300, Addison, IL 60101-5505 2016-07-11
1801263082 Mercedes Delapaz-buck Speech-Language Pathologist 201 N Forest Ct, Addison, IL 60101-2918 2015-08-24
1518380526 Hear In Dallas, Inc Speech-Language Pathologist 14679 Midway Rd Ste 222, Addison, TX 75001-3161 2014-01-27
1255645420 Lisa Ann Foster Speech-Language Pathologist 6143 State Route 417, Addison, NY 14801-9515 2010-07-30
Find all providers in ADDISON

Competitor

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City ADDISON
Zip Code 60101

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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