Gregory Petersen is a Clinical in Roanoke, Virginia. Gregory Petersen practices all healthcare services and medical treatments related to Clinical. The NPI Number for Gregory Petersen is 1275509804. The last update date is 2007-07-08.
Gregory Petersen's current location address is 2017 Jefferson St Sw, Roanoke, Virginia. You can contact this provider via phone number 5409817097. The mailing address for Gregory Petersen is 2017 Jefferson St Sw, Roanoke, Virginia. To know further, please read the information below!
Provider Profile Detail
Provider Name | Gregory Petersen |
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Address | 2017 Jefferson St Sw, Roanoke, Virginia |
Phone Number | 5409817097 |
Fax Number | |
Sole Proprietor | X |
Credentials | PHD |
NPI Number Detail
NPI Number | 1275509804 |
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Provider Enumeration Date | 2006-02-24 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 2017 Jefferson St Sw |
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City | Roanoke |
State | Virginia (VA) |
Post Code | 240142419 |
Phone Number | 5409817097 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 103Tc0700X |
Licence No | 0810-002774 |
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 |
Post Comment/ Review Below
What is the unique provider identifier assigned to Gregory Petersen?
The Gregory Petersen has been issued the NPI (National Provider Identifier) 1275509804 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Gregory Petersen is located?
The Gregory Petersen is situated at the following address: 2017 Jefferson St Sw, Roanoke, VA, 240142419.
What is the area of specialization for Gregory Petersen, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Gregory Petersen is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc0700X.
When was the Gregory Petersen's 1275509804 issued?
The Gregory Petersen's 1275509804 was issued on 2006-02-24.
When was the information regarding Gregory Petersen, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Gregory Petersen, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.