DR. Mary Peterson, PH.D.

NPI #1720135163 in Newberg, Oregon

Provider Information

NPI Number
1720135163
Entity Type
Individual
Name
DR. Mary Peterson, PH.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Psychologist - Clinical
Credential
PH.D.
Enumeration Date
Jan 5, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
414 N MERIDIAN ST
Address 2
BOX 6275
State
Oregon
ZIP Code
97132-2697
Phone
(503) 554-2377

Specialties & Taxonomy Codes

Specialty
Psychologist - ClinicalClinical

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