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

Shannon Peterson

Individual provider Speech-Language Pathologist · NPI 1366373821

Shannon Peterson is a Speech-Language Pathologist in Pewaukee, Wisconsin. Practices as a sole proprietor. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

404 Lake St
Pewaukee, WI 53072-3630
Phone: (262) 695-5078
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X

Record details

NPI number1366373821
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorYes
NPI enumeratedMay 26, 2026
Last updated in NPPESMay 26, 2026
Certification dateMay 26, 2026
Mailing address404 Lake St, Pewaukee, WI 53072-3630

Other providers in Pewaukee