Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Kathleen Ann Petersen, MS, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1972100626

Mrs. Kathleen Ann Petersen, MS, CCC-SLP is a Speech-Language Pathologist in Minot, North Dakota. Practices as a sole proprietor. Licensed in North Dakota.

Licensed in
ND
In the registry since
2020
What do these letters mean?
MS — Master of Science
A graduate science 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

407 3rd St SE
Minot, ND 58701-4470
Phone: (701) 857-5514
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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 347 (ND)

Record details

NPI number1972100626
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-SLP
Sole proprietorYes
NPI enumeratedOctober 6, 2020
Last updated in NPPESOctober 6, 2020
Certification dateOctober 6, 2020

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