Damon Peterson, M.ED, PBSF
NPI #1194042515 in Petersburg, Virginia
Provider Information
- NPI Number
- 1194042515
- Entity Type
- Individual
- Name
- Damon Peterson, M.ED, PBSF
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Credential
- M.ED, PBSF
- Enumeration Date
- Apr 24, 2010
- Last Updated
- Apr 24, 2010
Practice Location
- Address
- 24812 BRICKWOOD MEADOW LN
- City
- Petersburg
- State
- Virginia
- ZIP Code
- 23803-8869
- Phone
- (804) 861-5201
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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