Petersen, Shelby Michelle

Petersen, Shelby Michelle is an sole proprietor health care provider with primary practice located at 10310 W Markham St Ste 205 , Little Rock AR 72205-1579. 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, Shelby Michelle can be contacted via phone (501) 406-7910.

Contact Information

Primary practice address
10310 W Markham St Ste 205 Little Rock AR 72205-1579
Phone: (501) 406-7910
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Assistant 2355S0801X 18-007 Arkansas

Profile Details

NPI number 1285146142
LBN Legal business name Petersen, Shelby Michelle
Credentials SLP-A
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 1st, 2017
Last updated Mar 17th, 2018 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1285146142 NPPES
Arkansas Other 18-007 ARKANSAS BOARD OF EXAMINERS IN SPEECH PATHOLOGY AND AUDIOLOGY

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