DR. Ryan W Peterson, PSY.D.

NPI #1861688608 in Bath, New York

Provider Information

NPI Number: 1861688608
Entity Type: Individual
Name: DR. Ryan W Peterson, PSY.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist
Credential: PSY.D.
Enumeration Date: Sep 14, 2007
Last Updated: Jul 24, 2012

Practice Location

Address: 115 LIBERTY ST
City: Bath
State: New York
ZIP Code: 14810-1508
Phone: (607) 776-6577

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Psychologist	103T00000X	Primary

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