Tim Peterson is a Counselor in South Bend, Indiana. Tim Peterson practices all healthcare services and medical treatments related to Counselor. The NPI Number for Tim Peterson is 1497932933. The last update date is 2008-01-28.
Tim Peterson's current location address is 403 E Madison St, South Bend, Indiana. You can contact this provider via phone number 5742831107 and fax number 5742831131. The mailing address for Tim Peterson is 403 E Madison St, South Bend, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tim Peterson |
|---|---|
| Address | 403 E Madison St, South Bend, Indiana |
| Phone Number | 5742831107 |
| Fax Number | 5742831131 |
| Sole Proprietor | N |
| Credentials | MA |
NPI Number Detail
| NPI Number | 1497932933 |
|---|---|
| Provider Enumeration Date | 2008-01-28 |
| Last Updated Date | 2008-01-28 |
Provider Mailing Address Detail
| Address | 403 E Madison St |
|---|---|
| City | South Bend |
| State | Indiana (IN) |
| Post Code | 466172322 |
| Phone Number | 5742831107 |
| Fax Number | 5742831131 |
Provider's Primary Taxonomy Detail
| Speciality | Counselor |
|---|---|
| Taxonomy | 101Y00000X |
|
Definition: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supe |
|
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Tim Peterson by the Centers for Medicare & Medicaid Services?
The Tim Peterson has been issued the NPI (National Provider Identifier) 1497932933 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Tim Peterson?
The Tim Peterson is physically situated at 403 E Madison St, in the city of South Bend, state of IN, with the postal code 466172322.
What is Tim Peterson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Tim Peterson is Counselor, and the taxonomy classification code that categorizes this area of expertise is 101Y00000X.
On what date was the 1497932933 assigned to Tim Peterson?
The Tim Peterson was issued its 1497932933 on 2008-01-28, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Tim Peterson most recently updated or refreshed?
The details pertaining to the Tim Peterson, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-01-28.