LYNDA LEE PETERSON MA-CCC/SLP
NPI 1376629360
Speech-Language Pathologist in Andover, MN

Q: What is Lynda Peterson's NPI number?

The NPI number for Lynda Peterson is 1376629360. It was assigned to this individual provider in the NPPES registry on October 31, 2006. The provider is also known as Linda Gayle Peterson Ma-Ccc/Slp.

Q: What is Lynda Peterson'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 Lynda Peterson was last updated on February 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 October 31, 2006

1891 STATION PKWY NW, ANDOVER, MN 55304(763) 755-4275(763) 755-4261 Get Directions Write a Review

NPPES record last updated: February 26, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 26, 2019, Mar 13, 2018 (2 updates tracked since 2018).

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About Lynda Lee Peterson Ma-ccc/slp NPPES

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

LYNDA LEE PETERSON MA-CCC/SLP (NPI 1376629360) is an individual speech-language pathologist provider in Andover, Minnesota, licensed in Minnesota (6329) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1376629360

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameLYNDA LEE PETERSONCredential: MA-CCC/SLP

Location Address1891 STATION PKWY NWAndover, MN 55304-3341

Mailing Address9912-300th Ave. N.Princeton, MN 55371 · (763) 389-5548

Phone(763) 755-4275

Fax(763) 755-4261

Sole ProprietorYes

Enumeration DateOctober 31, 2006

Last NPPES UpdateFebruary 26, 20192 updates tracked since enumeration

✔ NPI 1376629360 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 · 6329

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.

1891 STATION PKWY NW, Andover, MN 55304

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Other Names 1

Former Name (1)Linda Gayle Peterson Ma-ccc/slp

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Other Providers at the Same Location NPPES 20

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

MEGAN DIERKING

Speech-Language Pathologist