Petersen, Monica
Petersen, Monica is an sole proprietor health care provider with primary practice located at 2911 Sanford Cir , Loveland CO 80538-4929. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Petersen, Monica can be contacted via phone (501) 416-4664.Contact Information
Primary practice address
2911 Sanford Cir
Loveland CO 80538-4929
Phone: (501) 416-4664
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 09135533 |
Profile Details
| NPI number | 1619989548 |
|---|---|
| LBN Legal business name | Petersen, Monica |
| Credentials | M.S., CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 12th, 2006 |
| Last updated | Nov 15th, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619989548 | NPPES |
| Arkansas | MEDICAID | 133710721 |
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