IndividualActive
Amy Petersen, MA, CCC-SLP
NPI 1306019484 · Speech-Language Pathologist · Tea, SD
Provider details
- NPI number
- 1306019484
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- MA, CCC-SLP
- Sex
- Female
- Sole proprietor
- No
Mailing address
130 Atkins Dr
Tea, SD 57064-2082
Registry dates
- Enumerated
- 2008-04-09
- Last updated
- 2015-04-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.