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

Individual provider Speech-Language Assistant · NPI 1992052955

Danielle M Petersen, MS, CCC-SLP is a Speech-Language Assistant in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2012.

Licensed in
AZ
In the registry since
2012
Specialties on file
2
What do these letters mean?
MS — Master of Science
A graduate science 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

20402 N 15th Ave
Phoenix, AZ 85027-3636
Phone: (623) 445-4952
Fax: (623) 445-5083
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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 · Licence SLP7780 (AZ)
Speech-Language Assistant Taxonomy 2355S0801X · Licence SLPA7780 (AZ)

Record details

NPI number1992052955
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-SLP
Sole proprietorNo
NPI enumeratedAugust 9, 2012
Last updated in NPPESMay 6, 2019
Mailing address20402 N 15th Ave, Phoenix, AZ 85027-3636

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