DANIELLE M PETERSEN (NPI# 1992052955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992052955 |
| Entity Type | Individual |
| Full Name | DANIELLE M PETERSEN |
| Credential | M.S., CCC-SLP |
| Practice Address |
20402 N 15th Ave Phoenix AZ 85027-3636 |
| Practice Telephone | 6234454952 |
| Practice Fax Number | 6234455083 |
| Mailing Telephone | 6234454952 |
| Mailing Fax Number | 6234455083 |
| Enumeration Date | 2012-08-09 |
| Last Update Date | 2019-05-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
SLPA7780 | AZ | Speech, Language and Hearing Service Providers |
| Y | 235Z00000X | Speech-Language Pathologist | SLP7780 | AZ | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346629912 | Danielle Petersen | Occupational Therapy Assistant | 110 E Harford St, Milford, PA 18337-1002 | 2015-05-28 |
| Street Address |
20402 N 15TH AVE |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85027-3636 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629101407 | Deer Valley Unified School District #97 | Local Education Agency (LEA) | 20402 N 15th Ave, Phoenix, AZ 85027-3636 | 2007-03-13 |
| 1083224471 | Shauna M Miller | Registered Nurse | 20402 N 15th Ave, Phoenix, AZ 85027-3636 | 2020-07-31 |
| 1346859659 | Sarah Bodnar | Speech-Language Pathologist | 20402 N 15th Ave, Phoenix, AZ 85027-3636 | 2020-07-23 |
| 1699384875 | Natalie Claire Mcdaniel | Speech-Language Pathologist | 20402 N 15th Ave, Phoenix, AZ 85027-3636 | 2020-07-23 |
| 1043860869 | Kathy Louise Gunderson | Registered Nurse | 20402 N 15th Ave, Phoenix, AZ 85027-3636 | 2019-09-13 |
| 1609424241 | Meredith Graffious | Speech-Language Pathologist | 20402 N 15th Ave, Phoenix, AZ 85027-3636 | 2019-08-27 |
| 1205319233 | Hannah Seidel | Speech-Language Pathologist | 20402 N 15th Ave, Phoenix, AZ 85027-3636 | 2018-09-14 |
| 1861971798 | Amber Mccrite | Occupational Therapist | 20402 N 15th Ave, Phoenix, AZ 85027 | 2018-08-10 |
| 1700395217 | Carolyn Sue Stier | Speech-Language Pathologist | 20402 N 15th Ave, Phoenix, AZ 85027-3636 | 2017-09-27 |
| 1295277960 | Lisa Marie Glover | Registered Nurse | 20402 N 15th Ave, Phoenix, AZ 85027-3636 | 2016-11-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891306312 | Ashley Nicole Felipe | Registered Nurse | 25700 N 21st Ave, Phoenix, AZ 85027 | 2020-08-10 |
| 1942784376 | Crystal Rodriguez | Dentist | 2550 W Union Hills Dr Ste 201, Phoenix, AZ 85027 | 2018-09-21 |
| 1790284776 | Lydia Kuuipo Chong | Nurse Practitioner | 20414 N 27th Ave #300, Phoenix, AZ 85027 | 2018-02-06 |
| 1457867004 | Kristi Marie Mathews | Nurse Practitioner | 19829 N 29th Avenue, Phoenix, AZ 85027 | 2017-12-19 |
| 1710348362 | The Empower House, LLC | Community Based Residential Treatment Facility, Mental Illness | 18631 N. 19th Ave., Suite 158-305, Phoenix, AZ 85027 | 2016-03-10 |
| 1972979656 | Dr Daniel H Yohannes D.d.s., PC | Dentist | 602 W. Union Hills Dr, #8, Phoenix, AZ 85027 | 2015-08-17 |
| 1013346857 | Dentistry At 35th Avenu | Dentist | 18635 N 35th Avenue, Phoenix, AZ 85027 | 2013-11-02 |
| 1437592102 | Ammar Alobaidy | Psychiatry & Neurology | 21410 N 19th Ave Ste 151, Phoenix, AZ 85027 | 2013-04-12 |
| 1588900021 | Jill Elizabeth Maroscia | Social Worker | 19636 N 27th Ave #106, Phoenix, AZ 85027 | 2013-01-02 |
| 1124394515 | Sfjg Holdings LLC | Dentist | 3414 W. Union Hills Dr, Suite 12 & 14, Phoenix, AZ 85027 | 2012-03-29 |
| Find all providers in zip 85027 | ||||
| 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 |
|---|---|---|---|---|
| 1235748369 | Nicole Fountain | Speech-Language Pathologist | 25700 N. 21st Avenue, Phoenix, AZ 85085 | 2020-07-24 |
| 1972137750 | Inspired Therapy LLC | Speech-Language Pathologist | 17606 N 17th Pl Unit 1079, Phoenix, AZ 85022-2184 | 2020-03-02 |
| 1083262331 | Josey Simon | Speech-Language Pathologist | 1333 N 24th St Apt 243, Phoenix, AZ 85008-4676 | 2019-08-29 |
| 1932768892 | Brianna Buckner | Speech-Language Pathologist | 6901 W Sheila Ln, Phoenix, AZ 85033-4452 | 2019-06-13 |
| 1689172942 | Ashley Elizabeth Kinkel | Speech-Language Pathologist | 3126 E Mulberry Dr, Phoenix, AZ 85016-7548 | 2018-01-31 |
| 1659882702 | Pamela Mae Pyle | Speech-Language Pathologist | 13440 N 44th St Apt 1150, Phoenix, AZ 85032-6393 | 2017-10-17 |
| 1477062495 | Kellie Kathleen Voss | Speech-Language Pathologist | 4505 E Palm Ln, Phoenix, AZ 85008-4123 | 2017-09-21 |
| 1679090823 | Margaret Easton | Speech-Language Pathologist | 7022 N 2nd St, Phoenix, AZ 85020-4809 | 2017-08-28 |
| 1457876013 | Paris Hasl | Speech-Language Pathologist | 4545 N 36th St Ste 125a, Phoenix, AZ 85018-3456 | 2017-08-04 |
| 1609390236 | Justin Segura | Speech-Language Pathologist | 9820 N Central Ave Unit 110, Phoenix, AZ 85020-1054 | 2017-07-26 |
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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.