Eric N Petersen, MA

NPI #1225679814 in South Burlington, Vermont

Provider Information

NPI Number: 1225679814
Entity Type: Individual
Name: Eric N Petersen, MA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist
Credential: MA
Enumeration Date: Oct 4, 2019
Last Updated: Oct 4, 2019

Practice Location

Address: 1233 SHELBURNE RD STE C4
City: South Burlington
State: Vermont
ZIP Code: 05403-7780
Phone: (802) 392-0405

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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