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

Individual provider Speech-Language Pathologist · NPI 1477980381

MS. Jill M Petersen, MS, CCC-SLP is a Speech-Language Pathologist in Cary, North Carolina. Licensed in North Carolina. Registered with an NPI since 2013.

Licensed in
NC
In the registry since
2013
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

2024 Brisbane Woods Way
Cary, NC 27518-9255
Phone: (919) 455-8466
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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 10057 (NC)

Record details

NPI number1477980381
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-SLP
Sole proprietorNo
NPI enumeratedOctober 9, 2013
Last updated in NPPESOctober 9, 2013

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