James S Peterson PHD ABPN

NPI 1376661272 - Psychologist - 103TC0700X

NPI Details
NPI 1376661272
Gender Male
Enumeration Date 03/27/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1400 W MAIN
SUITE 16
CARBONDALE IL, 62901, US
Phone (618) 529-2227
Fax (618) 529-2227
Business Location
PO BOX 583
CARBONDALE IL, 62903, US
Phone (618) 529-2227
Fax
Toxanomy
Taxonomy Code 103TC0700X
License State
License Number
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According to our database, Mr. James S Peterson PHD ABPN NPI is 1376661272, taxonomy code is 103TC0700X James S Peterson PHD ABPN physically located at 1400 W Main, Carbondale IL, 62901. NPI Number James S Peterson PHD ABPN has the Individual type.

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1376661272 NPI number is provided on an as is basis without warranty of any kind. 1376661272 is maintained by the National Plan & Provider Enumeration System. The contents of James S Peterson PHD ABPN are for informational purposes only.