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

Individual provider Speech-Language Pathologist · NPI 1215112933

MS. Nancy Jo Peterson, MSCCCSLP is a Speech-Language Pathologist in Bemidji, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2007
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Practice location Address checks out

4635 Waville Rd NE
Bemidji, MN 56601-8983
Phone: (218) 751-2588
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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 7693 (MN)

Record details

NPI number1215112933
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCCSLP
Sole proprietorYes
NPI enumeratedDecember 31, 2007
Last updated in NPPESDecember 31, 2007
Mailing address4635 Waville Rd Ne, Bemidji, MN 56601-8983

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