Olivia Lark Petersen

Speech-Language Pathologist · Ogden, UT

Individual Active NPI

NPI number 1922826908

Practice location

5320 Adams Ave Pkwy
Ogden, UT 84405-6913
Phone
(801) 476-7800

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NPI record

NPI
1922826908
Entity type
Individual (Type 1)
Enumeration date
September 30, 2024
Last updated
September 30, 2024
Certified
September 30, 2024
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X — —

Mailing address

3869 S 3050 W
West Haven, UT 84401-1997
Phone
(949) 395-4149

About Olivia Petersen

Olivia Lark Petersen is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 5320 Adams Ave Pkwy, Ogden, UT 84405-6913. The NPI number 1922826908 was assigned on September 30, 2024 and the record was last updated on September 30, 2024.

Frequently asked questions

What is the NPI number of Olivia Lark Petersen?

The NPI number is 1922826908.

What is the phone number of Olivia Petersen?

The phone number listed for the practice location is (801) 476-7800.

Where is Olivia Petersen located?

5320 Adams Ave Pkwy, Ogden, UT 84405-6913.

What is the taxonomy code for Olivia Petersen?

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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