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

Katelyn Amanda Petersen

Individual provider Speech-Language Assistant · NPI 1497486153

Katelyn Amanda Petersen is a Speech-Language Assistant in San Tan Valley, Arizona. Licensed in Arizona. Registered with an NPI since 2022.

Licensed in
AZ
In the registry since
2022

Practice location Address checks out

43507 N Ironwood Dr
San Tan Valley, AZ 85140-9312
Phone: (480) 757-2253
Show map & directions

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

Specialties & licences

Speech-Language Assistant (primary) Taxonomy 2355S0801X (AZ)

Record details

NPI number1497486153
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 22, 2022
Last updated in NPPESJune 22, 2022
Certification dateJune 22, 2022

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