Christine V. Petersen PSY D

NPI 1033217385 - Psychologist - 103TC0700X

NPI Details
NPI 1033217385
Gender Female
Enumeration Date 09/20/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
2530 CRAWFORD AVE
SUITE 212
EVANSTON IL, 60201-4970, US
Phone (773) 469-7339
Fax
Business Location
6623 N GREENVIEW AVENUE
UNIT 2N
CHICAGO IL, 60626, US
Phone (773) 469-7339
Fax
Toxanomy
Taxonomy Code 103TC0700X
License State
License Number
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According to our database, Christine V. Petersen PSY D NPI is 1033217385, taxonomy code is 103TC0700X Christine V. Petersen PSY D physically located at 2530 Crawford Ave, Evanston IL, 60201-4970. NPI Number Christine V. Petersen PSY D has the Individual type.

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1033217385 NPI number is provided on an as is basis without warranty of any kind. 1033217385 is maintained by the National Plan & Provider Enumeration System. The contents of Christine V. Petersen PSY D are for informational purposes only.