Provider Demographics
NPI:1649917170
Name:PEETE, BROOKE (SLP)
Entity type:Individual
Prefix:
First Name:BROOKE
Middle Name:
Last Name:PEETE
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:BROOKE
Other - Middle Name:
Other - Last Name:REFFEITT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3500 DEPAUW BLVD STE 3070
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46268-6135
Mailing Address - Country:US
Mailing Address - Phone:855-324-0885
Mailing Address - Fax:317-520-8200
Practice Address - Street 1:160 PLAINFIELD VILLAGE DR STE 101
Practice Address - Street 2:
Practice Address - City:PLAINFIELD
Practice Address - State:IN
Practice Address - Zip Code:46168-2782
Practice Address - Country:US
Practice Address - Phone:463-888-0118
Practice Address - Fax:317-520-8200
Is Sole Proprietor?:No
Enumeration Date:2022-05-17
Last Update Date:2023-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN22007331A235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist