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

Individual provider Speech-Language Pathologist · NPI 1467112011

Kaley Peterman, MS, CCC-SLP is a Speech-Language Pathologist in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2021.

Licensed in
FL
In the registry since
2021
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

12627 San Jose Blvd Ste 803
Jacksonville, FL 32223-8644
Phone: (904) 460-4951
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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 SA13895 (FL)

Record details

NPI number1467112011
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-SLP
Sole proprietorNo
NPI enumeratedDecember 22, 2021
Last updated in NPPESDecember 22, 2021
Certification dateDecember 22, 2021
Mailing address862 Glenneyre Cir, Saint Augustine, FL 32092-1231

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