Peterson, Millicent Rose

Peterson, Millicent Rose is an individual health care provider with primary practice located at 30 Matthews St Ste 203 , Goshen NY 10924-1985. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Peterson, Millicent Rose can be contacted via phone (845) 294-8544.

Contact Information

Primary practice address
30 Matthews St Ste 203 Goshen NY 10924-1985
Phone: (845) 294-8544
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 41YA00115300 New Jersey
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 003037-01 New York

Profile Details

NPI number 1164197570
LBN Legal business name Peterson, Millicent Rose
Credentials AU.D., CCC-A
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2021
Last updated Feb 27th, 2023 - about last year

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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