SANDRA LEE PETERSEN SLP
NPI 1215162995
Speech-Language Pathologist in Addison, IL

Q: What is Sandra Petersen's NPI number?

The NPI number for Sandra Petersen is 1215162995. It was assigned to this individual provider in the NPPES registry on May 24, 2009.

Q: What is Sandra Petersen's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Sandra Petersen was last updated on May 24, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since May 24, 2009

805 W STONEMILL AVE, ADDISON, IL 60101(630) 628-4165 Get Directions Write a Review

NPPES record last updated: May 24, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Sandra Lee Petersen Slp NPPES

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

SANDRA LEE PETERSEN SLP (NPI 1215162995) is an individual speech-language pathologist provider in Addison, Illinois, licensed in Illinois (146.002406) and active in the NPI registry since May 2009.

NPPES Registry Identity

NPI1215162995

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameSANDRA LEE PETERSENCredential: SLP

Location Address805 W STONEMILL AVEAddison, IL 60101-2210

Mailing Address805 W Stonemill AveAddison, IL 60101-2210 · (630) 628-4165

Phone(630) 628-4165

Sole ProprietorYes

Enumeration DateMay 24, 2009

✔ NPI 1215162995 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 IL · 146.002406

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.

805 W STONEMILL AVE, Addison, IL 60101

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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 Sandra Petersen's NPI number?

The NPI number for Sandra Petersen is 1215162995. It was assigned to this individual provider in the NPPES registry on May 24, 2009.

Where is Sandra Petersen located?

Sandra Petersen practices at 805 W Stonemill Ave, Addison, IL 60101. The listed phone number is (630) 628-4165.

What is Sandra 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 Sandra Petersen was last updated on May 24, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.