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

Miss. Mary Elizabeth Petersen, MACCC-SLP

Individual provider Speech-Language Pathologist · NPI 1114938016

Miss. Mary Elizabeth Petersen, MACCC-SLP is a Speech-Language Pathologist in Cleveland, Ohio. Licensed in Ohio. Registered with an NPI since 2006.

Licensed in
OH
In the registry since
2006

Practice location Address checks out

10701 E Blvd Audiology And Speech Pathology 126 W
Cleveland, OH 44106-1702
Phone: (216) 791-3800
Fax: (216) 707-5958
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 SP.8246 (OH)

Record details

NPI number1114938016
Entity typeIndividual (Type 1)
GenderFemale
Credentials MACCC-SLP
Sole proprietorNo
NPI enumeratedAugust 10, 2006
Last updated in NPPESJuly 8, 2007

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