Maudie Alice Peterson in Salem - Mental Health
Maudie Alice Peterson - NPI 1104983782
Maudie Alice Peterson is a Mental Health in Salem, Oregon. Maudie Alice Peterson practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Maudie Alice Peterson is 1104983782. The last update date is 2007-07-08.
Maudie Alice Peterson's current location address is Po Box 4665, Salem, Oregon. You can contact this provider via phone number 5035810307. The mailing address for Maudie Alice Peterson is Po Box 4665, Salem, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Maudie Alice Peterson |
|---|---|
| Address | Po Box 4665, Salem, Oregon |
| Phone Number | 5035810307 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MS,LPC |
NPI Number Detail
| NPI Number | 1104983782 |
|---|---|
| Provider Enumeration Date | 2007-01-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 4665 |
|---|---|
| City | Salem |
| State | Oregon (OR) |
| Post Code | 973028665 |
| Phone Number | 5035810307 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | CO224 |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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What is the unique identifier code issued to Maudie Alice Peterson by the Centers for Medicare & Medicaid Services?
The Maudie Alice Peterson has been assigned the NPI (National Provider Identifier) 1104983782. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Maudie Alice Peterson?
The Maudie Alice Peterson is situated at Po Box 4665, in the city of Salem, state of OR, with the zip code 973028665.
What is Maudie Alice 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 Maudie Alice Peterson is Mental Health, and the taxonomy classification code that categorizes this area of expertise is 101Ym0800X.
On what date did the Maudie Alice Peterson receive the assignment of its 1104983782 from the Centers for Medicare & Medicaid Services?
The Maudie Alice Peterson was issued its 1104983782 by the Centers for Medicare & Medicaid Services on 2007-01-02.
When was the Maudie Alice Peterson's information last updated?
The Maudie Alice Peterson's information was last updated on 2007-07-08.