MR. James S Peterson, PHD ABPN
NPI #1376661272 in Carbondale, Illinois
Provider Information
- NPI Number
- 1376661272
- Entity Type
- Individual
- Name
- MR. James S Peterson, PHD ABPN
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Psychologist - Clinical
- Credential
- PHD ABPN
- Enumeration Date
- Mar 27, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1400 W MAIN
- Address 2
- SUITE 16
- City
- Carbondale
- State
- Illinois
- ZIP Code
- 62901
- Phone
- (618) 529-2227
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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