Dr. Kirsten E. Petersen Psychological Services, Pllc

NPI #1366067258 in Wantagh, New York

Provider Information

NPI Number: 1366067258
Entity Type: Organization
Organization Name: Dr. Kirsten E. Petersen Psychological Services, Pllc
Primary Specialty: Psychologist - Clinical
Enumeration Date: Jun 16, 2020
Last Updated: Jun 17, 2020

Practice Location

Address: 2389 BABYLON ST
City: Wantagh
State: New York
ZIP Code: 11793-4501
Phone: (917) 991-1042

Authorized Official

Name: DR. KIRSTEN ERIN PETERSEN
Title: OWNER
Phone: (917) 991-1042

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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