Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1558669523 Individual Practitioner Female Practitioner

Jennifer L Petersen , CCC-SLP

Speech-Language Pathologist • Middletown, NY

Professional Overview & Biography Verified Profile Summary

Jennifer Petersen, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Middletown, NY. Practice services are available at 53 BEDFORD AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

53 Bedford Ave

Middletown, NY 109406414

Telephone 8453261784

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Middletown, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 28.0 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
86 Specialists

Practicing in Middletown, NY (25106 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License NY 020216-1

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Kristi Valerio , COTA

Occupational Therapy Assistant - Feeding, Eating & Swallowing

NPI 1598585879

Certified Occupational Therapy Assistant

Julianna Mullane , MS, CCC-SLP

Speech-Language Pathologist

NPI 1679196745

Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence)

Tracy Hefferon , COTA

Occupational Therapy Assistant

NPI 1912276148

Certified Occupational Therapy Assistant

Kerry Harris , MS CCC, SLP

Speech-Language Pathologist

NPI 1952685745

MSCCC, Speech-Language Pathologist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 01, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location March 01, 2011

Registered at 53 BEDFORD AVE, MIDDLETOWN, NY 109406414 (Tel: 8453261784)

📍
Updated Business Mailing Address March 01, 2011

Registered at PO BOX 255, SUMMITVILLE, NY 127810255 (Tel: 8458885411)

👤
Provider Name / Credentials Updated March 01, 2011

Recorded as JENNIFER PETERSEN, CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 01, 2011

Speech-Language Pathologist (License #020216-1 in NY)

🟢
Initial NPI Registration & Enumeration March 01, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1558669523
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 01, 2011
Last Update: March 01, 2011
Sole Proprietor: Yes

Mailing Address

Po Box 255

Summitville, NY 127810255

Phone: 8458885411

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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