MRS. KATHLEEN ANN PETERSEN MS, CCC-SLP
NPI 1972100626
Speech-Language Pathologist in Minot, ND

Q: What is Kathleen Petersen's NPI number?

The NPI number for Kathleen Petersen is 1972100626. It was assigned to this individual provider in the NPPES registry on October 6, 2020.

Q: What is Kathleen 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 Kathleen Petersen was last updated on October 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 06, 2020

407 3RD ST SE, MINOT, ND 58701(701) 857-5514 Get Directions Write a Review

NPPES record last updated: October 6, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mrs. Kathleen Ann Petersen Ms, Ccc-slp NPPES

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

MRS. KATHLEEN ANN PETERSEN MS, CCC-SLP (NPI 1972100626) is an individual speech-language pathologist provider in Minot, North Dakota, licensed in North Dakota (347) and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1972100626

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameMRS. KATHLEEN ANN PETERSENCredential: MS, CCC-SLP

Location Address407 3RD ST SEMinot, ND 58701-4470

Mailing Address407 3rd St SeMinot, ND 58701-4470 · (701) 857-5514

Phone(701) 857-5514

Sole ProprietorYes

Enumeration DateOctober 6, 2020

NPPES CertifiedOctober 6, 2020

✔ NPI 1972100626 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 ND · 347

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.

407 3RD ST SE, Minot, ND 58701

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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.

JESSICA M TONNESSEN M.S., SLP

Speech-Language Pathologist

407 3RD ST SE
MINOT, ND 58701

Ward County (701) 857-5514

LAUREN SHAW

Speech-Language Pathologist

407 3RD ST SE
MINOT, ND 58701

Ward County (701) 857-5514

MR. LUIS VALENCIA COCA III LAC

Counselor (Addiction (Substance Use Disorder))

407 3RD ST SE
MINOT, ND 58701

Ward County (701) 857-2480

MICHAEL G RAYEL M.D.

Psychiatry & Neurology (Psychiatry)

407 3RD ST SE
MINOT, ND 58701

Ward County (701) 857-2360

MACKENZIE RENEE WESTFALL OTD

Occupational Therapist

407 3RD ST SE
MINOT, ND 58701

Ward County (701) 418-8000

MEREDYTHE A LESTER LAC

Counselor (Addiction (Substance Use Disorder))

407 3RD ST SE
MINOT, ND 58701

Ward County (701) 857-2480

BETHANY RICHARDSON M.A., CCC-SLP, CBIS

Speech-Language Pathologist

407 3RD ST SE
MINOT, ND 58701

Ward County (701) 857-5514

AMY THULL

Counselor (Addiction (Substance Use Disorder))

407 3RD ST SE
MINOT, ND 58701

Ward County (701) 857-2481

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 Kathleen Petersen's NPI number?

The NPI number for Kathleen Petersen is 1972100626. It was assigned to this individual provider in the NPPES registry on October 6, 2020.

Where is Kathleen Petersen located?

Kathleen Petersen practices at 407 3rd St SE, Minot, ND 58701. The listed phone number is (701) 857-5514.

What is Kathleen 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 Kathleen Petersen was last updated on October 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.