Anthony Ray Peterson in North Chicago - Clinical
Anthony Ray Peterson - NPI 1265456024
Anthony Ray Peterson is a Clinical in North Chicago, Illinois. Anthony Ray Peterson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Anthony Ray Peterson is 1265456024. The last update date is 2013-05-29.
Anthony Ray Peterson's current location address is 3001 Green Bay Rd, North Chicago, Illinois. You can contact this provider via phone number 2246104673. The mailing address for Anthony Ray Peterson is 3001 Green Bay Rd, North Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Anthony Ray Peterson |
|---|---|
| Address | 3001 Green Bay Rd, North Chicago, Illinois |
| Phone Number | 2246104673 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1265456024 |
|---|---|
| Provider Enumeration Date | 2006-07-26 |
| Last Updated Date | 2013-05-29 |
Provider Mailing Address Detail
| Address | 3001 Green Bay Rd |
|---|---|
| City | North Chicago |
| State | Illinois (IL) |
| Post Code | 600643048 |
| Phone Number | 2246104673 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 71006958 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the Anthony Ray Peterson's unique identification number?
The Anthony Ray Peterson has been assigned the NPI (National Provider Identifier) Number 1265456024 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Anthony Ray Peterson located?
The Anthony Ray Peterson is located at 3001 Green Bay Rd, North Chicago, IL 600643048.
What is Anthony Ray Peterson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Anthony Ray Peterson's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1265456024 to Anthony Ray Peterson?
The Anthony Ray Peterson received its 1265456024 assignment from the Centers for Medicare & Medicaid Services on 2006-07-26.
As of what date was the information regarding Anthony Ray Peterson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Anthony Ray Peterson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-05-29.
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