MRS. JENNIFER L PETERSEN (NPI# 1558669523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558669523 |
| Entity Type | Individual |
| Full Name | MRS. JENNIFER L PETERSEN |
| Credential | CCC-SLP |
| Practice Address |
53 Bedford Ave Middletown NY 10940-6414 |
| Mailing Address |
Po Box 255 Summitville NY 12781-0255 |
| Practice Telephone | 8453261784 |
| Mailing Telephone | 8458885411 |
| Enumeration Date | 2011-03-01 |
| Last Update Date | 2011-03-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 020216-1 | NY | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417506353 | Jennifer S Petersen | Specialist | 266 Rintin St, Franklin Square, NY 11010-3406 | 2019-09-04 |
| 1740705003 | Jennifer Marie Petersen | Nurse Practitioner | 1892 Bassett Rd, Westlake, OH 44145-1909 | 2017-08-08 |
| 1891236550 | Jennifer Petersen | Counselor | 103 Enterprise Dr, Warsaw, IN 46580-1204 | 2017-03-14 |
| 1417308578 | Jennifer Mary Petersen | Licensed Practical Nurse | 417 Grove St, Sullivan, WI 53178-9770 | 2016-06-29 |
| 1013311398 | Jennifer Petersen | Counselor | 4213 Durango Pl, Fort Collins, CO 80526-4103 | 2014-10-15 |
| 1265586812 | Jennifer L Petersen | Specialist/Technologist | 1256 Bark Rd, Magnolia, OH 44643 | 2007-01-22 |
| 1124180104 | Jennifer Jill Petersen | Chiropractor | 20730 Holyoke Ave, Suite 34, Lakeville, MN 55044 | 2006-12-15 |
| 1841279890 | Jennifer Lynn Petersen | Chiropractor | 128 6th Ave S, Clinton, IA 52732-4103 | 2006-01-10 |
| 1073037982 | Jennifer Suzanne Petersen | Registered Nurse | 5930 S 58th St Ste W, Lincoln, NE 68516-3653 | 2017-08-01 |
| 1265823058 | Jennifer Petersen | Pharmacy Technician | 301 Park Dr, Owatonna, MN 55060-5639 | 2015-02-15 |
| Street Address |
53 BEDFORD AVE |
| City | MIDDLETOWN |
| State | NY |
| Zip Code | 10940-6414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912276148 | Tracy A. Hefferon | Occupational Therapy Assistant | 53 Bedford Ave, Middletown, NY 10940-6414 | 2011-12-16 |
| 1952685745 | Kerry Ann Harris | Speech-Language Pathologist | 53 Bedford Ave, Middletown, NY 10940-6414 | 2011-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366043135 | Sherell Rebecca Hassell-robinson | Social Worker | 1 Echo Hills Road, Middletown, NY 10940 | 2020-11-06 |
| 1144821927 | Fred Allen Mccormack | Social Worker | 210 East Main St Suite 105, Middletown, NY 10940 | 2020-11-06 |
| 1609484567 | Gen Med Inc | Anesthesiology | 253 Route 211 East, 2nd Floor, Middletown, NY 10940 | 2020-07-16 |
| 1366067092 | Kalyn Ruscher | Counselor | 303 5th Ave 14 Fl, Suite 1410, New York, NY 10940 | 2020-06-09 |
| 1780238220 | Angela Mayo | Social Worker | 24 Union Street, Middletown, NY 10940 | 2019-08-01 |
| 1215593611 | Northern Medical Center, Inc | Family Medicine | 14 Jason Place, Suite 201, Middletown, NY 10940 | 2019-05-13 |
| 1811468267 | Diana Katzenberger | Licensed Practical Nurse | 774 Kurbytuwn Rd, Middletown, NY 10940 | 2018-12-11 |
| 1881165330 | Chereen Madden-grant | Registered Nurse | 1028 Route 211 W, Middletown, NY 10940 | 2018-12-10 |
| 1184106361 | Clarise Denise Williams | Social Worker | 210 E Main St Suite 105, Middletown, NY 10940 | 2018-09-04 |
| 1194210963 | Damon Tremayne Swinea | Social Worker | 16-24 Union St., Middletown, NY 10940 | 2018-06-25 |
| Find all providers in zip 10940 | ||||
| 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 |
|---|---|---|---|---|
| 1063027357 | Megan Meyer | Speech-Language Pathologist | 345 Schutt Road Ext, Middletown, NY 10940-2551 | 2020-09-13 |
| 1780298901 | Katherine Marie Gould | Speech-Language Pathologist | 551 N Breiel Blvd, Middletown, OH 45042-3870 | 2020-09-04 |
| 1134746852 | Sheryl Franz | Speech-Language Pathologist | 7625 Elk Creek Rd, Middletown, OH 45042-9268 | 2020-06-29 |
| 1023634102 | Kathleen Callaghan | Speech-Language Pathologist | 76 Maynard St, Middletown, CT 06457-4519 | 2020-06-24 |
| 1518588383 | Nisha Elizebeth Jose | Speech-Language Pathologist | 1151 Washington St Apt D2, Middletown, CT 06457-2935 | 2020-05-02 |
| 1881159853 | Alexa S. Roma | Speech-Language Pathologist | 908 Woodridge Dr, Middletown, PA 17057-3226 | 2019-02-04 |
| 1730658501 | Christina Marie Jasek | Speech-Language Pathologist | 403 Franklin St, Middletown, MD 21769-7961 | 2018-11-21 |
| 1508334947 | Kayce Deibler | Speech-Language Pathologist | 1481 Heritage Sq, Middletown, PA 17057-5958 | 2018-11-04 |
| 1841786175 | Stephanie Sadusky | Speech-Language Pathologist | 1221 Cedar Lane Rd, Middletown, DE 19709-9636 | 2018-07-10 |
| 1851803548 | Natalie Broderick | Speech-Language Pathologist | 142 Edison Dr, Middletown, OH 45044-3269 | 2017-11-02 |
| Find all providers in MIDDLETOWN | ||||
| City | MIDDLETOWN |
| Zip Code | 10940 |
Please comment or provide details below to improve the information on MRS. JENNIFER L PETERSEN.
| 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.