MS. NANCY JO PETERSON MS CCC SLP
NPI 1215112933
Speech-Language Pathologist in Bemidji, MN

Active since December 31, 2007
4635 WAVILLE RD NE, BEMIDJI, MN 56601(218) 751-2588 Get Directions Write a Review

NPPES record last updated: December 31, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ms. Nancy Jo Peterson Ms Ccc Slp NPPES

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

MS. NANCY JO PETERSON MS CCC SLP (NPI 1215112933) is an individual speech-language pathologist provider in Bemidji, Minnesota, licensed in Minnesota (7693) and active in the NPI registry since December 2007.

NPPES Registry Identity

NPI1215112933
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMS. NANCY JO PETERSONCredential: MS CCC SLP
Location Address4635 WAVILLE RD NEBemidji, MN 56601-8983
Mailing Address4635 Waville Rd NeBemidji, MN 56601-8983 · (218) 751-2588
Sole ProprietorYes
Enumeration DateDecember 31, 2007
NPI 1215112933 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 MN · 7693
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.

4635 WAVILLE RD NE, Bemidji, MN 56601

Other Names 1

Former Name (1)Ms. Nancy Jo Asper Ms Ccc Slp

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215112933, enumerated as an "individual" on December 31, 2007.

The provider is located at 4635 WAVILLE RD NE BEMIDJI, MN 56601 and the phone number is (218) 751-2588.

Speech-Language Pathologist with taxonomy code 235Z00000X.