Gail Peterson in Carbondale - Cognitive & Behavioral
Gail Peterson - NPI 1629058904
Gail Peterson is a Cognitive & Behavioral in Carbondale, Illinois. Gail Peterson practices all healthcare services and medical treatments related to Cognitive & Behavioral. The NPI Number for Gail Peterson is 1629058904. The last update date is 2013-07-03.
Gail Peterson's current location address is Po Box 443, Carbondale, Illinois. You can contact this provider via phone number 6185294988 and fax number 6183511419. The mailing address for Gail Peterson is Po Box 443, Carbondale, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gail Peterson |
|---|---|
| Address | Po Box 443, Carbondale, Illinois |
| Phone Number | 6185294988 |
| Fax Number | 6183511419 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1629058904 |
|---|---|
| Provider Enumeration Date | 2006-01-20 |
| Last Updated Date | 2013-07-03 |
Provider Mailing Address Detail
| Address | Po Box 443 |
|---|---|
| City | Carbondale |
| State | Illinois (IL) |
| Post Code | 629030443 |
| Phone Number | 6185294988 |
| Fax Number | 6183511419 |
Provider's Primary Taxonomy Detail
| Speciality | Cognitive & Behavioral |
|---|---|
| Taxonomy | 103Tb0200X |
| Licence No | 071-002561 |
|
Definition: A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 27485 | IL | HEALTH ALLIANCE MEDICAL PLANS | |
| 3972011 | IL | BLUE CROSS/ BLUE SHIELD | |
| 126480 | IL | HEALTHLINK PROVIDER # |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Gail Peterson by the Centers for Medicare & Medicaid Services?
The Gail Peterson has been issued the NPI (National Provider Identifier) 1629058904 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Gail Peterson?
The Gail Peterson is situated at Po Box 443, in the city of Carbondale, state of IL, with the zip code 629030443.
What is Gail Peterson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Gail Peterson is Cognitive & Behavioral, and the taxonomy code that classifies this field of practice is 103Tb0200X.
When was the Gail Peterson's 1629058904 issued?
The Gail Peterson's 1629058904 was issued on 2006-01-20.
As of what date were the Gail Peterson's details last updated?
The information pertaining to the Gail Peterson, including its address, specialty, and other details, was most recently updated on 2013-07-03.
NPI Number: 1194728337
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