Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Amy Petersen, MA, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1306019484

Amy Petersen, MA, CCC-SLP is a Speech-Language Pathologist in Tea, South Dakota. Registered with an NPI since 2008.

In the registry since
2008
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

130 Atkins Dr
Tea, SD 57064-2082
Phone: (605) 366-0103
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X

Record details

NPI number1306019484
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , CCC-SLP
Sole proprietorNo
NPI enumeratedApril 9, 2008
Last updated in NPPESApril 7, 2015
Mailing address130 Atkins Dr, Tea, SD 57064-2082

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