Frederick L Peterson in Dayton - Psychologist
Frederick L Peterson - NPI 1790708725
Frederick L Peterson is a Psychologist in Dayton, Ohio. Frederick L Peterson practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Frederick L Peterson is 1790708725. The last update date is 2007-07-08.
Frederick L Peterson's current location address is 627 S Edwin C Moses Blvd, Dayton, Ohio. You can contact this provider via phone number 9374241000. The mailing address for Frederick L Peterson is 627 S Edwin C Moses Blvd, Dayton, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Frederick L Peterson |
|---|---|
| Address | 627 S Edwin C Moses Blvd, Dayton, Ohio |
| Phone Number | 9374241000 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PSY.D |
NPI Number Detail
| NPI Number | 1790708725 |
|---|---|
| Provider Enumeration Date | 2006-07-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 627 S Edwin C Moses Blvd |
|---|---|
| City | Dayton |
| State | Ohio (OH) |
| Post Code | 454081461 |
| Phone Number | 9374241000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 3738 |
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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 Frederick L Peterson by the Centers for Medicare & Medicaid Services?
The Frederick L Peterson has been assigned the NPI (National Provider Identifier) 1790708725. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Frederick L Peterson's physical address?
The Frederick L Peterson is physically located at 627 S Edwin C Moses Blvd, in the city of Dayton, OH, with the postal code 454081461.
What is Frederick L Peterson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Frederick L Peterson is Psychologist, and the taxonomy code that classifies this field of practice is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1790708725 to Frederick L Peterson?
The Centers for Medicare & Medicaid Services originally issued the 1790708725 to Frederick L Peterson on 2006-07-25.
When was the Frederick L Peterson's information last updated?
The Frederick L Peterson's information was last updated on 2007-07-08.