Provider Demographics
NPI:1003060385
Name:PETERSON, ELIZABETH FRANCES (MA,CCC-SLP)
Entity Type:Individual
Prefix:MISS
First Name:ELIZABETH
Middle Name:FRANCES
Last Name:PETERSON
Suffix:
Gender:F
Credentials:MA,CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:22344 E KENYON PL
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80018-4557
Mailing Address - Country:US
Mailing Address - Phone:303-330-3309
Mailing Address - Fax:303-862-9770
Practice Address - Street 1:2600 S PARKER RD STE 336
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-1613
Practice Address - Country:US
Practice Address - Phone:303-330-3309
Practice Address - Fax:303-862-9770
Is Sole Proprietor?:No
Enumeration Date:2008-11-12
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist