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

Kallie Peterson

Individual provider Speech-Language Pathologist · NPI 1891368395

Kallie Peterson is a Speech-Language Pathologist in Brooklyn Park, Minnesota. Practices as a sole proprietor. Licensed in Colorado.

Licensed in
CO
In the registry since
2021

Practice location Address checks out

9751 Regent Ave N
Brooklyn Park, MN 55443-1402
Phone: (763) 315-5340
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 14336560 (CO)

Record details

NPI number1891368395
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 21, 2021
Last updated in NPPESSeptember 25, 2024
Certification dateSeptember 25, 2024
Mailing address1660 Highway 100 S Ste 103, Saint Louis Park, MN 55416-1599

Other providers in Brooklyn Park