Most Relevant Information
Provider Data
| NPI Number: | 1003032913 |
| Provider Name: | BARBARA PETERSON MHA, MA, CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | SLP006284 |
Most Important Dates
| Enumeration Date: | 04/18/2007 |
| Last Updated: | 08/11/2021 |
Provider Practice Location
4940 STEVE TATE HWY
MARBLE HILL
GA
301482227
Practice Location Phone/Fax
| Phone: | 6783276228 |
| Fax: |
Provider Mailing Location
4940 STEVE TATE HWY
MARBLE HILL
GA
301482227
Provider Mailing Phone/Fax
| Phone: | 6783276228 |
| Fax: |