Ellen C Peterson

NPI #1265646590 in Ithaca, New York

Provider Information

NPI Number
1265646590
Entity Type
Organization
Organization Name
Ellen C Peterson
Primary Specialty
Social Worker - Clinical
Enumeration Date
May 9, 2007
Last Updated
Jun 24, 2008

Practice Location

Address
402 N CAYUGA ST
City
Ithaca
ZIP Code
14850
Phone
(607) 272-7720

Authorized Official

Name
ELLEN C PETERSON, LCSW
Title
OWNER PSYCHOTHERAPIST
Phone
(607) 272-7720

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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