Jill M Peterson is a Clinical in Racine, Wisconsin. Jill M Peterson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jill M Peterson is 1669695136. The last update date is 2008-12-09.
Jill M Peterson's current location address is 410 West Blvd, Racine, Wisconsin. You can contact this provider via phone number 2626878538 and fax number 2626874334. The mailing address for Jill M Peterson is 410 West Blvd, Racine, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jill M Peterson |
|---|---|
| Address | 410 West Blvd, Racine, Wisconsin |
| Phone Number | 2626878538 |
| Fax Number | 2626874334 |
| Sole Proprietor | N |
| Credentials | PSYD |
NPI Number Detail
| NPI Number | 1669695136 |
|---|---|
| Provider Enumeration Date | 2007-04-11 |
| Last Updated Date | 2008-12-09 |
Provider Mailing Address Detail
| Address | 410 West Blvd |
|---|---|
| City | Racine |
| State | Wisconsin (WI) |
| Post Code | 534052147 |
| Phone Number | 2626878538 |
| Fax Number | 2626874334 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 2709057 |
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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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Post Comment/ Review Below
What is the unique provider identifier assigned to Jill M Peterson?
The Jill M Peterson has been issued the NPI (National Provider Identifier) 1669695136 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Jill M Peterson is physically located?
The Jill M Peterson is physically situated at the following address: 410 West Blvd, Racine, WI, 534052147.
What is Jill M Peterson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jill M Peterson is Clinical, and the taxonomy code that classifies this field of practice is 103Tc0700X.
When did the Jill M Peterson receive its 1669695136?
The Jill M Peterson was issued its 1669695136 on 2007-04-11, which is the date when the organization was assigned this unique identifier.
When was the Jill M Peterson's information last updated?
The Jill M Peterson's information was last updated on 2008-12-09.
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