Ryan W Peterson is a Psychologist in Bath, New York. Ryan W Peterson practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Ryan W Peterson is 1861688608. The last update date is 2012-07-24.
Ryan W Peterson's current location address is 115 Liberty St, Bath, New York. You can contact this provider via phone number 6077766577 and fax number 6076642161. The mailing address for Ryan W Peterson is 115 Liberty St, Bath, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ryan W Peterson |
|---|---|
| Address | 115 Liberty St, Bath, New York |
| Phone Number | 6077766577 |
| Fax Number | 6076642161 |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1861688608 |
|---|---|
| Provider Enumeration Date | 2007-09-14 |
| Last Updated Date | 2012-07-24 |
Provider Mailing Address Detail
| Address | 115 Liberty St |
|---|---|
| City | Bath |
| State | New York (NY) |
| Post Code | 148101508 |
| Phone Number | 6077766577 |
| Fax Number | 6076642161 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 019091-1 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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What is the unique identifier code issued to Ryan W Peterson by the Centers for Medicare & Medicaid Services?
The Ryan W Peterson has been assigned the NPI (National Provider Identifier) 1861688608. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Ryan W Peterson is geographically located?
The Ryan W Peterson is physically situated at the following location: 115 Liberty St, Bath, NY, 148101508.
What is Ryan W Peterson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Ryan W Peterson's specialized field of practice is Psychologist, and the corresponding taxonomy code that categorizes this area of specialization is 103T00000X.
On what date did the Ryan W Peterson receive its 1861688608 assignment from the Centers for Medicare & Medicaid Services?
The Ryan W Peterson was assigned its 1861688608 by the Centers for Medicare & Medicaid Services on 2007-09-14.
As of what date were the Ryan W Peterson's details last updated?
The information pertaining to the Ryan W Peterson, including its address, specialty, and other details, was most recently updated on 2012-07-24.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC