MRS. LISA OELHAFEN PETERSON M.S., CCC-SLP - NPI 1639148760 - Speech-Language Pathologist in Charlotte, NC

Q: What is Lisa Peterson's NPI number?

The NPI number for Lisa Peterson is 1639148760. It was assigned to this individual provider in the NPPES registry on March 14, 2006.

Q: What is Lisa 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 Lisa Peterson was last updated on March 7, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Mrs. Lisa Oelhafen Peterson M.s., Ccc-slp NPPES

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

MRS. LISA OELHAFEN PETERSON M.S., CCC-SLP (NPI 1639148760) is an individual speech-language pathologist provider in Charlotte, North Carolina, licensed in North Carolina (5121) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1639148760

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameMRS. LISA OELHAFEN PETERSONCredential: M.S., CCC-SLP

Location Address10516 PARK RDCharlotte, NC 28210-8405

Mailing Address4315 Fairview Oak LnCharlotte, NC 28211-4922 · (704) 366-6447

Phone(704) 541-9080

Fax(704) 542-0699

Sole ProprietorNo

Enumeration DateMarch 14, 2006

Last NPPES UpdateMarch 7, 2013

✔ NPI 1639148760 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 NC · 5121

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.

10516 PARK RD, Charlotte, NC 28210

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Other Identifiers 1

Medicaid7411683NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Other Providers at the Same Location NPPES 15

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

DR. ANNADA W. HYPES PH.D.

Psychologist (Clinical)