Renae Peter, M.S, SLP-CCC

Speech-Language Pathologist · Marion, IL

Individual Active NPI

NPI number 1003174178

Practice location

12363 Laguna Dr
Marion, IL 62959-9040
Phone
(618) 263-2385

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NPI record

NPI
1003174178
Entity type
Individual (Type 1)
Enumeration date
April 26, 2012
Last updated
April 26, 2012
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X 146010152 IL

About Renae Peter

Renae Peter, M.S, SLP-CCC is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 12363 Laguna Dr, Marion, IL 62959-9040. The NPI number 1003174178 was assigned on April 26, 2012 and the record was last updated on April 26, 2012.

Renae Peter lists a license in the registry: #146010152 (IL) for Speech-Language Pathologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Renae Peter, M.S, SLP-CCC?

The NPI number is 1003174178.

What is the phone number of Renae Peter?

The phone number listed for the practice location is (618) 263-2385.

Where is Renae Peter located?

12363 Laguna Dr, Marion, IL 62959-9040.

What is the taxonomy code for Renae Peter?

The primary taxonomy code is 235Z00000X – Speech-Language Pathologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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