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

Meredith Leigh Petersen, MSCCCSLP

Individual provider Speech-Language Pathologist · NPI 1912537861

Meredith Leigh Petersen, MSCCCSLP is a Speech-Language Pathologist in Portland, Maine. Licensed in Maine. Registered with an NPI since 2020.

Licensed in
ME
In the registry since
2020

Practice location Address checks out

22 Bramhall St
Portland, ME 04102-3134
Phone: (207) 329-9144
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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 SP2208 (ME)

Record details

NPI number1912537861
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCCSLP
Sole proprietorNo
NPI enumeratedJanuary 20, 2020
Last updated in NPPESJanuary 20, 2020
Certification dateJanuary 20, 2020
Mailing address14 Baltimore Ave, South Portland, ME 04106-4420

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