Petersen, Katelyn Amanda

Petersen, Katelyn Amanda is an individual health care provider with primary practice located at 43507 N Ironwood Dr , San Tan Valley AZ 85140-9312. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Assistant, which is considered as her primary health care specialty. Petersen, Katelyn Amanda can be contacted via phone (480) 757-2253.

Contact Information

Primary practice address
43507 N Ironwood Dr San Tan Valley AZ 85140-9312
Phone: (480) 757-2253
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Assistant 2355S0801X Arizona

Profile Details

NPI number 1497486153
LBN Legal business name Petersen, Katelyn Amanda
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2022
Last updated Jun 22nd, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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