AUDREY PETERSEN

JACKSONVILLE, FL
NPI1336694892
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: FL  SA15457)
Additional Taxonomies235Z00000X Speech-Language Pathologist,
(Licence: FL  SZ7762)
Enumeration Date2016-08-24
Last Update Date2021-09-30
Business Address
AUDREY PETERSEN CCC-SLP
12276 SAN JOSE BLVD STE 508
JACKSONVILLE, FL 32223-8618
Phone number: 904-886-3228
Mailing Address
AUDREY PETERSEN CCC-SLP
12276 SAN JOSE BLVD STE 508
JACKSONVILLE, FL 32223-8618
Phone number: 904-886-3228