NPI 1366373821
Shannon Peterson
Practice location
- Address
- 404 Lake St, Pewaukee, WI 53072-3630
- Phone
- (262) 695-5078
Registered specialties
Speech-Language Pathologist
Primary
Registry record
- NPI
- 1366373821
- Entity type
- Individual
- Sex (as registered)
- X
- NPI issued
- 26 May 2026
- Record last updated
- 26 May 2026
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.