Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Nancy Jo Peterson, MSCCCSLP

Individual provider Speech-Language Pathologist · NPI 1215112933

MS. Nancy Jo Peterson, MSCCCSLP is a Speech-Language Pathologist in Bemidji, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2007
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Practice location Address checks out

4635 Waville Rd NE
Bemidji, MN 56601-8983
Phone: (218) 751-2588
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 7693 (MN)

Record details

NPI number1215112933
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCCSLP
Sole proprietorYes
NPI enumeratedDecember 31, 2007
Last updated in NPPESDecember 31, 2007

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