Miss Leslie Danielle Peterson, MSCCC-SLP is a
Speech-language Pathologist based in Havana, Florida. Miss Leslie Danielle Peterson is licensed to practice in Florida (license number SA 8226) and her current practice location is
303 Ne 5th St, Havana, Florida. She can be reached at her office (for appointments etc.) via phone at
(850) 294-1199.
NPI number for Miss Leslie Danielle Peterson is 1417975665 and her current mailing address is 303 Ne 5th St, Havana, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1417975665.
Healthcare Provider's Profile
Full Name | Miss Leslie Danielle Peterson |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 303 Ne 5th St, Havana, Florida |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1417975665
- Provider Enumeration Date: 07/17/2006
- Last Update Date: 11/16/2022
Medical Identifiers
Medical identifiers for Miss Leslie Danielle Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417975665 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | SA 8226 (Florida) | Primary |
235Z00000X | Speech-language Pathologist | SLP007123 (Georgia) | Secondary |
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. Miss Leslie Danielle 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 |
Miss Leslie Danielle Peterson, MSCCC-SLP 303 Ne 5th St, Havana, FL 32333-1765 Ph: (850) 294-1199 | Miss Leslie Danielle Peterson, MSCCC-SLP 303 Ne 5th St, Havana, FL 32333-1765 Ph: (850) 294-1199 |
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