Mrs Mary Alice Petersen, MA, CCC-SLP in Newcastle, WY

Mrs Mary Alice Petersen, MA, CCC-SLP is a Speech-language Pathologist based in Newcastle, Wyoming. Mrs Mary Alice Petersen is licensed to practice in Wyoming (license number #SP-391) and her current practice location is 104 Stampede St, Newcastle, Wyoming. She can be reached at her office (for appointments etc.) via phone at (307) 746-4560.

NPI number for Mrs Mary Alice Petersen is 1063661916 and her current mailing address is 104 Stampede St, Newcastle, Wyoming. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063661916.

Contact Information

	Mrs Mary Alice Petersen, MA, CCC-SLP
	104 Stampede St, Newcastle, WY 82701-3037
	(307) 746-4560
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Mary Alice Petersen
Gender	Female
Speciality	Speech-language Pathologist
Location	104 Stampede St, Newcastle, Wyoming
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1063661916
Provider Enumeration Date: 09/16/2008
Last Update Date: 02/15/2017

Medical Identifiers

Medical identifiers for Mrs Mary Alice Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063661916	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	#SP-391 (Wyoming)	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. Mrs Mary Alice Petersen 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
Mrs Mary Alice Petersen, MA, CCC-SLP 104 Stampede St, Newcastle, WY 82701-3037 Ph: (307) 746-4560	Mrs Mary Alice Petersen, MA, CCC-SLP 104 Stampede St, Newcastle, WY 82701-3037 Ph: (307) 746-4560

Reviews and Comments

Speech-Language Pathologist in Newcastle, WY

Nicole Elizabeth Jordan, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 104 Stampede St, Newcastle, WY 82701 Phone: 307-746-4560
Mrs. Debra Jean Doeksen-gould, MA CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 104 Stampede St, Newcastle, WY 82701 Phone: 307-745-4560
Mary M Streib, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 104 Stampede St, Newcastle, WY 82701 Phone: 307-746-3541

Mrs Mary Alice Petersen, MA, CCC-SLP - Speech-Language Pathologist in Newcastle, WY