Ryan Peterson

NPI #1912213497 in Somerville, Massachusetts

Provider Information

NPI Number: 1912213497
Entity Type: Individual
Name: Ryan Peterson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: Aug 23, 2010
Last Updated: Aug 8, 2012

Practice Location

Address: 179 MORRISON AVE
City: Somerville
State: Massachusetts
ZIP Code: 02144-2017
Phone: (732) 947-2030

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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