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KALLIE PETERSON
NPI 1891368395
Speech-Language Pathologist in Brooklyn Park, MN

Active since July 21, 2021
9751 REGENT AVE N, BROOKLYN PARK, MN 55443(763) 315-5340 Get Directions Write a Review

NPPES record last updated: September 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 25, 2024, Jul 21, 2021 (2 updates tracked since 2021).

About Kallie Peterson NPPES

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

KALLIE PETERSON (NPI 1891368395) is an individual speech-language pathologist provider in Brooklyn Park, Minnesota, licensed in Colorado (14336560) and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1891368395
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameKALLIE PETERSON
Location Address9751 REGENT AVE NBrooklyn Park, MN 55443-1402
Mailing Address1660 Highway 100 S Ste 103Saint Louis Park, MN 55416-1599 · (763) 531-5039
Phone(763) 315-5340
Sole ProprietorYes
Enumeration DateJuly 21, 2021
Last NPPES UpdateSeptember 25, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 25, 2024
✔ NPI 1891368395 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 CO · 14336560
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.
9751 REGENT AVE N, Brooklyn Park, MN 55443
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

JULIE ANN ORTH COTA
Occupational Therapy Assistant
9751 REGENT AVE N
BROOKLYN PARK, MN 55443
Hennepin County (763) 493-7033
ALLANA WILLS
Occupational Therapist
9751 REGENT AVE N
BROOKLYN PARK, MN 55443
Hennepin County (763) 315-5351
KATIE JANE LEARY PT
Physical Therapist
9751 REGENT AVE N
BROOKLYN PARK, MN 55443
Hennepin County (763) 315-5340
BRIANNA CATHERINE HUNTER M.S. CF-SLP
Speech-Language Pathologist
9751 REGENT AVE N
BROOKLYN PARK, MN 55443
Hennepin County (763) 315-5340
JESSICA HUNTLEY OTR/L, MS
Occupational Therapist
9751 REGENT AVE N
BROOKLYN PARK, MN 55443
Hennepin County (763) 315-5340
SALLY K PAULUS PTA
Physical Therapy Assistant
9751 REGENT AVE N
BROOKLYN PARK, MN 55443
Hennepin County (763) 315-5351
CARRIE LYNN DORHOLT PTA
Physical Therapy Assistant
9751 REGENT AVE N
BROOKLYN PARK, MN 55443
Hennepin County (763) 493-7033
WENDY MARIE ABERWALD
Occupational Therapist
9751 REGENT AVE N
BROOKLYN PARK, MN 55443
Hennepin County (763) 315-5340

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 Kallie Peterson's NPI number?

The NPI number for Kallie Peterson is 1891368395. It was assigned to this individual provider in the NPPES registry on July 21, 2021.

Where is Kallie Peterson located?

Kallie Peterson practices at 9751 Regent Ave N, Brooklyn Park, MN 55443. The listed phone number is (763) 315-5340.

What is Kallie Peterson'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 Kallie Peterson was last updated on September 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.