MR. Magnum Peterson, EDS

NPI #1922722354 in Red Oak, Iowa

Provider Information

NPI Number: 1922722354
Entity Type: Individual
Name: MR. Magnum Peterson, EDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - School
Credential: EDS
Enumeration Date: Sep 29, 2022
Last Updated: Sep 29, 2022

Practice Location

Address: 607 E OAK ST
City: Red Oak
State: Iowa
ZIP Code: 51566-1642
Phone: (336) 739-0069

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - School — School	103TS0200X	Primary

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