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

Grant Peterson

Individual provider Speech-Language Pathologist · NPI 1366283046

Grant Peterson is a Speech-Language Pathologist in New Hope, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2024

Practice location Address checks out

5430 Boone Ave N
New Hope, MN 55428-3615
Phone: (763) 592-2774
Show map & directions

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

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 9877 (MN)

Record details

NPI number1366283046
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 5, 2024
Last updated in NPPESJune 5, 2024
Certification dateJune 5, 2024
Mailing address5430 Boone Ave N, New Hope, MN 55428

Other providers in New Hope