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

Wallis Petersen

Individual provider Speech-Language Assistant · NPI 1407663735

Wallis Petersen is a Speech-Language Assistant in Tulsa, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2024.

Licensed in
OK
In the registry since
2024

Practice location Address checks out

7608 E 91st St
Tulsa, OK 74133-6014
Phone: (918) 663-0606
Show map & directions

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

Specialties & licences

Speech-Language Assistant (primary) Taxonomy 2355S0801X · Licence CF667 (OK)

Record details

NPI number1407663735
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 11, 2024
Last updated in NPPESDecember 11, 2024
Certification dateDecember 11, 2024
Mailing address7608 E 91st St, Tulsa, OK 74133-6014

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