NPI 1700267606 · live from the CMS NPI Registry
Peter Behnke
Speech-Language Pathologist, in Mesa, AZ. National Provider Identifier 1700267606, active.
NPI record
| NPI | 1700267606 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 5358 E Baseline Rd, Mesa, AZ 85206 |
| Practice phone | 480-630-3005 |
| Mailing address | 25117 Sw Parkway Ave Ste D, Wilsonville, OR 97070 |
| Enumerated | June 16, 2015 |
| Last updated | June 16, 2015 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.