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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 235Z00000X | Speech-Language Pathologist | 146.002406 | IL | Speech, Language and Hearing Service Providers |
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 |
Street Address |
805 W STONEMILL AVE |
City | ADDISON |
State | IL |
Zip Code | 60101-2210 |
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 |
Find all providers in zip 60101 |
Taxonomy Code | 235Z00000X |
Grouping | Speech, Language and Hearing Service Providers |
Classification | Speech-Language Pathologist |
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. |
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 |
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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.