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Peterson Speech Therapy

NPI 1497188387ActiveOrganization· Speech-Language Pathologist· Idaho Falls, ID

Speech-Language Pathologist in Idaho Falls, Idaho, registered in NPPES in August 2013. The authorized official on file is Marissa Lynne Peterson, MA/CCC-SLP, Speech Language Pathologist.

Overview

NPI1497188387
StatusActive
Entity typeOrganization
NPI issuedAug 14, 2013
Last updated in NPPESAug 14, 2013

Specialties and licenses

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary235Z00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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