CAROLYN PETERSON (NPI# 1215332846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215332846 |
| Entity Type | Individual |
| Full Name | CAROLYN PETERSON |
| Credential | MA-CCC,SLP |
| Practice Address |
239 Grannys Garden Rd Libby MT 59923-9218 |
| Practice Telephone | 4062937480 |
| Mailing Telephone | 4062937480 |
| Enumeration Date | 2014-10-24 |
| Last Update Date | 2014-10-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 235Z00000X | Speech-Language Pathologist | 9140 | AZ | Speech, Language and Hearing Service Providers |
| Y | 235Z00000X | Speech-Language Pathologist | 746 | MT | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023569696 | Carolyn N. Peterson | Dietitian, Registered | 1615 Waybridge Ln, Apt 1e, Charlotte, NC 28210-5769 | 2016-10-19 |
| 1922340157 | Carolyn Peterson | Counselor | 14623 Ne North Woodinville Way, Suite #106, Woodinville, WA 98072-8475 | 2013-03-26 |
| 1548442874 | Carolyn Ann Peterson | Psychologist | 3215 Fortune Ct, Auburn, CA 95602-9245 | 2007-11-28 |
| 1750792669 | Carolyn M Peterson | Family Medicine | 18040 Sw Lower Boones Ferry Rd Ste 304, Portland, OR 97224-7258 | 2014-05-13 |
| 1033406509 | Carolyn Peterson | Social Worker | 610 Campus Dr, Abingdon, VA 24210-2589 | 2011-07-06 |
| 1770814485 | Carolyn S Peterson | Social Worker | 2092 S Custer Rd, Monroe, MI 48161-1831 | 2010-01-20 |
| 1285802017 | Carolyn Peterson | Licensed Practical Nurse | 301 Andrews Ave, Ft. Rucker, AL 36362 | 2008-02-14 |
| 1477535334 | Carolyn G Peterson | Physician Assistant | 5779 E Mayo Blvd, Phoenix, AZ 85054-4502 | 2005-11-16 |
| Street Address |
239 GRANNYS GARDEN RD |
| City | LIBBY |
| State | MT |
| Zip Code | 59923-9218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518504596 | Office of Randy Guinard, Lcsw LLC | Social Worker | 703 California Avenue, Libby, MT 59923 | 2019-12-09 |
| 1952641615 | Kristi Lynn Lovejoy | Massage Therapist | 952 E Spruce, Libby, MT 59923 | 2013-02-18 |
| 1891943981 | Rita Haidle Billow | Psychologist | 320 E. 2nd Street, Libby, MT 59923 | 2008-09-03 |
| 1225229347 | Mark Serra | Emergency Medicine | 350 Louisiana Avenue, Libby, MT 59923 | 2007-08-05 |
| 1992910319 | Joel A Riddel | Chiropractor | 1115 Minnesota Ave, Libby, MT 59923 | 2007-05-10 |
| 1184743056 | Carol J. Kelly | Counselor | 1469 Highway 2 South, Libby, MT 59923 | 2007-03-29 |
| 1578696464 | Robert Hanley | Counselor | 711 California Avenue, Libby, NE 59923 | 2007-03-13 |
| 1851463947 | Steven L Sorensen | Optometrist | 422 Louisiana Ave, Libby, MT 59923 | 2006-11-14 |
| 1295823979 | Clyde Allen Knecht | Family Medicine | 403 Utah Ave, Libby, MT 59923 | 2006-10-10 |
| 1982717625 | Fisher River Volunteer Fire Company | Ambulance | 100 West Camp Road, Libby, MT 59923 | 2006-08-16 |
| Find all providers in zip 59923 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972877629 | Debra Edwards | Speech-Language Pathologist | 308 E 3rd St, Libby, MT 59923-2140 | 2012-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063019297 | Momentum Speech Therapy, PC | Speech-Language Pathologist | 9885 O'brien Creek Road, Missoula, MT 59804 | 2020-10-01 |
| 1548876311 | Kandis Lee Hoem | Speech-Language Pathologist | 309 W Park St, Dillon, MT 59725-2350 | 2020-09-17 |
| 1750993549 | Heidi Brown | Speech-Language Pathologist | 475 Wines Way, Stevensville, MT 59870-6060 | 2020-08-21 |
| 1417572819 | Erin Thorsen | Speech-Language Pathologist | 1011 19th St, Havre, MT 59501-5516 | 2020-06-11 |
| 1710500178 | Kiley Kremmel | Speech-Language Pathologist | 1308 Cherry Dr, Bozeman, MT 59715-5923 | 2020-05-20 |
| 1093337230 | Stacey Keleen Mcclure | Speech-Language Pathologist | 819 Oak St, Missoula, MT 59801-3639 | 2020-05-11 |
| 1366061806 | Katelyn Minor | Speech-Language Pathologist | 169 Ice Blue Rd, Bozeman, MT 59718-9422 | 2020-04-14 |
| 1184263774 | Jessie Ahnmark | Speech-Language Pathologist | 636 Lower Tom Burke Rd, Gallatin Gateway, MT 59730-8576 | 2019-12-30 |
| 1215596812 | Erin Bauer | Speech-Language Pathologist | 974 Shepherd Ln, Stevensville, MT 59870-6712 | 2019-06-07 |
| 1346809175 | Sonia Marie Jenkins | Speech-Language Pathologist | 140 Droulliard Ave, Bozeman, MT 59718-3698 | 2019-06-05 |
| Find all providers with the same taxonomy | ||||
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| 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.