Kelly Peterson, MS CCC-SLP is a
Speech-language Pathologist based in Titusville, Pennsylvania. Kelly Peterson is licensed to practice in Pennsylvania (license number SL013217) and her current practice location is
81 E Dillon Dr, Titusville, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at
(814) 827-2727.
NPI number for Kelly Peterson is 1982144366 and her current mailing address is 8796 Route 219, Brockway, Pennsylvania. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1982144366.
Healthcare Provider's Profile
Full Name | Kelly Peterson |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 81 E Dillon Dr, Titusville, Pennsylvania |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1982144366
- Provider Enumeration Date: 03/03/2017
- Last Update Date: 03/03/2017
Medical Identifiers
Medical identifiers for Kelly Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1982144366 | NPI | - | NPPES |
813221954 | Medicaid | PA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | SL013217 (Pennsylvania) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly Peterson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kelly Peterson, MS CCC-SLP 8796 Route 219, Brockway, PA 15824-6010 Ph: () - | Kelly Peterson, MS CCC-SLP 81 E Dillon Dr, Titusville, PA 16354-2402 Ph: (814) 827-2727 |
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