Nadine Joanne Peterson, LP

NPI #1457340614 in North Saint Paul, Minnesota

Provider Information

NPI Number: 1457340614
Entity Type: Individual
Name: Nadine Joanne Peterson, LP
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Psychologist
Credential: LP
Enumeration Date: Oct 19, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 2440 N CHARLES ST
Address 2: #228
City: North Saint Paul
State: Minnesota
ZIP Code: 55109
Phone: (651) 307-0282

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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