Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Maxine R Peterson, MSCCC-SLP

Individual provider Speech-Language Pathologist · NPI 1376321612

MS. Maxine R Peterson, MSCCC-SLP is a Speech-Language Pathologist in Bronx, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

270 E 167th St
Bronx, NY 10456-4066
Phone: (718) 293-9048
Fax: (718) 293-9748
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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 033601 (NY)
Speech-Language Pathologist Taxonomy 235Z00000X (NY)

Record details

NPI number1376321612
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCC-SLP
Sole proprietorYes
NPI enumeratedSeptember 18, 2023
Last updated in NPPESSeptember 18, 2023
Certification dateSeptember 18, 2023

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