Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Makenzie Petermann, MSCCC-SLP

Individual provider Speech-Language Pathologist · NPI 1851945208

Mrs. Makenzie Petermann, MSCCC-SLP is a Speech-Language Pathologist in Joplin, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2019
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Practice location Address checks out

825 Pearl Ave
Joplin, MO 64801-9025
Phone: (417) 625-5200
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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 2019031361 (MO)

Record details

NPI number1851945208
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCC-SLP
Sole proprietorYes
NPI enumeratedJuly 24, 2019
Last updated in NPPESNovember 1, 2021
Certification dateNovember 1, 2021

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