Olivia Lark Petersen
Olivia Lark Petersen is a Speech-Language Pathologist in Ogden, Utah. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
5320 Adams Ave PkwyOgden, UT 84405-6913
Phone: (801) 476-7800
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Specialties & licences
| Speech-Language Pathologist (primary) | Taxonomy 235Z00000X |
|---|
Record details
| NPI number | 1922826908 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | September 30, 2024 |
| Last updated in NPPES | September 30, 2024 |
| Certification date | September 30, 2024 |
| Mailing address | 3869 S 3050 W, West Haven, UT 84401-1997 |
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