NPI age
12 years
Enumerated 2013-08-14
● Active Type 2 · Organization
Peterson Speech Therapy
Peterson Speech Therapy is 1 of 1046 speech-language pathologist organizations in Idaho.
Primary specialty
Speech-Language Pathologist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Peterson
Speech Language Pathologist
Last NPPES update
2013-08-14
Source: monthly bulk 2026-05
How this organization compares
Across 1046 active speech-language pathologist providers in Idaho.
NPI age
12 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2013 → 2026
2013-08Enumerated in NPPES
2013
2026
Where they practice
Primary practice location
545 Lincoln Dr
Idaho Falls, ID 834014118
Mailing address
545 Lincoln Dr
Idaho Falls, ID 834014118
Authorized official
Marissa Lynne Peterson, MA/CCC-SLP
Speech Language Pathologist
📞 2087578553
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Marissa Peterson, MA/CCC-SLP Speech-Language Pathologist NPI 1669633590
Specialties
-
Speech-Language Pathologist PrimaryThe 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...
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.