Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Donna Petersen

Individual provider Speech-Language Pathologist · NPI 1003480856

Donna Petersen is a Speech-Language Pathologist in W Melbourne, Florida. Practices as a sole proprietor. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

2706 Bradfordt Dr
W Melbourne, FL 32904-7321
Phone: (321) 586-6488
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X

Record details

NPI number1003480856
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 17, 2021
Last updated in NPPESMay 17, 2021
Certification dateMay 17, 2021
Mailing address2706 Bradfordt Dr, W Melbourne, FL 32904-7321

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