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MR. THOMAS DAVID PETERSEN MSCCCSLP
NPI 1134249246
Speech-Language Pathologist in Delavan, WI

Active since March 30, 2007
N4901 DAM RD, DELAVAN, WI 53115(262) 740-2170(262) 740-7201 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Thomas David Petersen Mscccslp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. THOMAS DAVID PETERSEN MSCCCSLP (NPI 1134249246) is an individual speech-language pathologist provider in Delavan, Wisconsin, licensed in Wisconsin (2444154) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1134249246
Entity TypeIndividualMale
Primary Taxonomy235Z00000X
Provider Legal NameMR. THOMAS DAVID PETERSENCredential: MSCCCSLP
Location AddressN4901 DAM RDDelavan, WI 53115-2927
Mailing AddressN4901 Dam RdDelavan, WI 53115-2927 · (262) 740-2170 · Fax (262) 740-7201
Phone(262) 740-2170
Fax(262) 740-7201
Sole ProprietorNo
Enumeration DateMarch 30, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1134249246 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in WI · 2444154
Definition
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.
N4901 DAM RD, Delavan, WI 53115
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Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JILL JACKSON M.S.
Speech-Language Pathologist
N4901 DAM RD
DELAVAN, WI 53115
Walworth County (262) 740-2170
MRS. KELLY KENNEDY OTR
Occupational Therapist
N4901 DAM RD
DELAVAN, WI 53115
Walworth County (262) 740-2170
ERIN JEANNE MURPHY COTA/L
Occupational Therapy Assistant
N4901 DAM RD
DELAVAN, WI 53115
Walworth County (413) 446-8218
ALL DAY ADULT CARE LLC
Clinic/Center (Adult Day Care)
N4901 DAM RD
DELAVAN, WI 53115
Walworth County (262) 326-2545
MELISSA DAY PTA
Physical Therapy Assistant
N4901 DAM RD
DELAVAN, WI 53115
Walworth County (888) 344-6801
ALL CARE REHABILITATION & WELLNESS LLC
Physical Therapist
N4901 DAM RD
DELAVAN, WI 53115
Walworth County (847) 393-4691

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thomas Petersen's NPI number?

The NPI number for Thomas Petersen is 1134249246. It was assigned to this individual provider in the NPPES registry on March 30, 2007.

Where is Thomas Petersen located?

Thomas Petersen practices at N4901 Dam Rd, Delavan, WI 53115. The listed phone number is (262) 740-2170.

What is Thomas Petersen's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Thomas Petersen was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.