Peterson, Barbara

Peterson, Barbara is an individual health care provider with primary practice located at 3650 Coalition Dr , Myrtle Beach SC 29588-6183. 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. Peterson, Barbara can be contacted via phone (843) 283-7713.

Contact Information

Primary practice address
3650 Coalition Dr Myrtle Beach SC 29588-6183
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 1059 South Carolina

Profile Details

NPI number 1336191535
LBN Legal business name Peterson, Barbara
Credentials S.L.P.
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Jul 8th, 2007 - about 18 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 1336191535 NPPES
South Carolina MEDICAID SA0085

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