COURTNEY J PETERSEN


Address: 1025 N Country Club Dr, Mesa, AZ 85201-3307
Phone: 4804720502

COURTNEY J PETERSEN (NPI# 1215121991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1215121991
Entity Type Individual
Full Name COURTNEY J PETERSEN
Practice Address 1025 N Country Club Dr
Mesa
AZ 85201-3307
Practice Telephone 4804720502
Practice Fax Number 4804720705
Mailing Telephone 4804720502
Mailing Fax Number 4804720705
Enumeration Date 2007-09-05
Last Update Date 2007-09-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 235Z00000X Speech-Language Pathologist SLPL5634 AZ Speech, Language and Hearing Service Providers

Other Providers COURTNEY PETERSEN

NPI Name Taxonomy Address Enumeration
1891244018 Courtney M Petersen Assistant Behavior Analyst 16902 Camden Ave, Omaha, NE 68116-8023 2016-09-28
1730184375 Courtney Slocum Petersen Physician Assistant 750 Washington St # 178, Tufts Medical Center, Boston, MA 02111-1526 2005-06-20

Office Location

Street Address 1025 N COUNTRY CLUB DR
City MESA
State AZ
Zip Code 85201-3307

Providers in the same location

NPI Name Taxonomy Address Enumeration
1144200288 Debra Gonzales Registered Nurse 1025 N Country Club Dr, Mesa, AZ 85201-3307 2006-01-17
1629678693 Autrey Taylor Veitel Specialist/Technologist 1025 N Country Club Dr, Mesa, AZ 85201-3307 2020-10-29
1790390375 Rebecca Ann Galaviz Registered Nurse 1025 N Country Club Dr, Mesa, AZ 85201-3302 2020-09-10
1811506652 Erika Mcsweeney Occupational Therapist 1025 N Country Club Dr, Mesa, AZ 85201-3307 2020-07-28
1780293415 Samantha Gubka Occupational Therapist 1025 N Country Club Dr, Mesa, AZ 85201-3302 2020-07-28
1003425851 Kaye Sjoholm Physical Therapist 1025 N Country Club Dr, Mesa, AZ 85201-3307 2020-07-28
1740899574 Brooke Danielle Ermisch Speech-Language Pathologist 1025 N Country Club Dr, Mesa, AZ 85201-3302 2020-07-28
1023626371 Taylor Dunnahoo Speech-Language Pathologist 1025 N Country Club Dr, Mesa, AZ 85201-3307 2020-07-22
1093349524 Jana Campos Occupational Therapist 1025 N Country Club Dr, Mesa, AZ 85201-3307 2020-02-24
1730719287 Nicole Frey Registered Nurse 1025 N Country Club Dr, Mesa, AZ 85201-3307 2020-01-23
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174141980 Arch Hospice, LLC. Hospice Care, Community Based 1209 N. Country Club Dr., Ste. 1, Mesa, AZ 85201 2020-07-08
1861025876 Summit Bhc Mesa LLC Clinic/Center 846 North Center Street Suite 101, Mesa, AZ 85201 2020-02-18
1427600774 Coleen Chatter Counselor 711 N. Evergreenrd. Apt#2088, Mesa, AZ 85201 2019-07-16
1013487800 Akos Live Family Medicine 1902 W. Main Street, Mesa, AZ 85201 2018-12-05
1760990329 Sage Counseling, Inc. Community/Behavioral Health 460 N. Mesa Drive, Suites 207 and 209, Mesa, AZ 85201 2018-01-17
1336590025 Horizon Health and Wellness, Inc. Assisted Living Facility 453 West Sunset Circle, Mesa, AZ 85201 2016-06-24
1356711279 Cheryl Agosto Registered Nurse 1025 N. Country Club Dr, Mesa, AZ 85201 2015-10-05
1861877961 Richard Roble Speech-Language Pathologist 125 N. Country Club Dr., Mesa, AZ 85201 2015-07-30
1326440991 Demetria Harris Counselor 455 N. Mesa Drive #11, Mesa, AZ 85201 2014-09-25
1588002489 Zhen Liu Acupuncturist 210n. Center St, #102, Mesa, AZ 85201 2013-06-13
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Taxonomy Information

Taxonomy Code 235Z00000X
Grouping Speech, Language and Hearing Service Providers
Classification Speech-Language Pathologist

Taxonomy Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043829880 Micaela Nitzel Speech-Language Pathologist 545 N Horne, Mesa, AZ 85203-7124 2020-07-28
1376152199 Charlotte Torma Speech-Language Pathologist 630 N Hunt Dr, Mesa, AZ 85203-6533 2020-07-28
1568071397 Ashton Belew Speech-Language Pathologist 930 S Sirrine, Mesa, AZ 85210-3736 2020-07-28
1023627866 Rachel Marie Ladzinski Speech-Language Pathologist 202 N Sycamore, Mesa, AZ 85201-6150 2020-07-28
1881203511 Taylor Ann Templeton Speech-Language Pathologist 3220 E Pueblo Ave, Mesa, AZ 85204-4028 2020-07-28
1639788490 Jessica Tsay Speech-Language Pathologist 9410 E Mckellips Rd, Mesa, AZ 85207-2631 2020-07-28
1487205795 Haley Mulherin Speech-Language Pathologist 463 S Alma School Rd, Mesa, AZ 85210-1014 2019-09-27
1134778384 Bailey Farnsworth Speech-Language Pathologist 2325 E Adobe St, Mesa, AZ 85213-6713 2019-09-10
1821658956 Diane Marie Senffner Speech-Language Pathologist 4133 N Boulder Cyn, Mesa, AZ 85207-0970 2019-06-20
1790267599 Elisabeth Rieks Speech-Language Pathologist 945 W Rio Salado Pkwy, Mesa, AZ 85201-3902 2018-08-29
Find all providers in MESA

Competitor

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City MESA
Zip Code 85201

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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