Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Miss. Kirsten E Petersen, MA, CCC-SLP, TSLD, BE

Individual provider Speech-Language Pathologist · NPI 1326398660

Miss. Kirsten E Petersen, MA, CCC-SLP, TSLD, BE is a Speech-Language Pathologist in Garden City, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2012
What do these letters mean?
MA — Master of Arts
A graduate arts 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

40 Mulberry Ave
Garden City, NY 11530-1830
Phone: (516) 474-1766
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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 021322-1 (NY)

Record details

NPI number1326398660
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , CCC-SLP , TSLD , BE
Sole proprietorYes
NPI enumeratedSeptember 13, 2012
Last updated in NPPESSeptember 13, 2012

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