Robert Lynn Peterson in Shakopee - Clinical

Robert Lynn Peterson - NPI 1942209481

Robert Lynn Peterson is a Clinical in Shakopee, Minnesota. Robert Lynn Peterson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Robert Lynn Peterson is 1942209481. The last update date is 2007-07-08.

Robert Lynn Peterson's current location address is 200 4th Ave W, Shakopee, Minnesota. You can contact this provider via phone number 9524968401. The mailing address for Robert Lynn Peterson is 200 4th Ave W, Shakopee, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Robert Lynn Peterson
Address 200 4th Ave W, Shakopee, Minnesota
Phone Number 9524968401
Fax Number
Sole Proprietor X
Credentials PHD, LP

NPI Number Detail

NPI Number 1942209481
Provider Enumeration Date 2005-07-18
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 200 4th Ave W
City Shakopee
State Minnesota (MN)
Post Code 5537912200
Phone Number 9524968401
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No 2415
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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FAQs about Robert Lynn Peterson

What is the Robert Lynn Peterson's 1942209481?

The Robert Lynn Peterson's NPI (National Provider Identifier) Number is 1942209481. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Robert Lynn Peterson's facilities are geographically located?

The facilities of Robert Lynn Peterson are physically situated at the following location: 200 4Th Ave W, Shakopee, MN, 5537912200.

What is the Robert Lynn Peterson's area of specialization and corresponding taxonomy classification?

The Robert Lynn Peterson's specialty field is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their specialties.

On what date did the Robert Lynn Peterson receive the assignment of its 1942209481 from the Centers for Medicare & Medicaid Services?

The Robert Lynn Peterson was issued its 1942209481 by the Centers for Medicare & Medicaid Services on 2005-07-18.

When was the information pertaining to Robert Lynn Peterson most recently updated or revised?

The details related to Robert Lynn Peterson, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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