DR. Kirsten E Petersen, PHD

NPI #1831581594 in Wantagh, New York

Provider Information

NPI Number: 1831581594
Entity Type: Individual
Name: DR. Kirsten E Petersen, PHD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - Clinical
Credential: PHD
Enumeration Date: Mar 4, 2015
Last Updated: Oct 9, 2020

Practice Location

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

Specialties & Taxonomy Codes

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

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