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

Individual provider Speech-Language Pathologist · NPI 1740682376

Jennifer Peterson, CCC-SLP is a Speech-Language Pathologist in San Diego, California. Licensed in California. Registered with an NPI since 2014.

Licensed in
CA
In the registry since
2014
What do these letters mean?
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

3020 Childrens Way # MC5068
San Diego, CA 92123-4223
Phone: (858) 576-1700
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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 20479 (CA)

Record details

NPI number1740682376
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorNo
NPI enumeratedSeptember 26, 2014
Last updated in NPPESSeptember 26, 2014

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