Beth M Petersen is a Clinical in Evansville, Indiana. Beth M Petersen practices all healthcare services and medical treatments related to Clinical. The NPI Number for Beth M Petersen is 1518941384. The last update date is 2013-01-09.
Beth M Petersen's current location address is Po Box 3868, Evansville, Indiana. You can contact this provider via phone number 8124269779 and fax number 8124266610. The mailing address for Beth M Petersen is Po Box 3868, Evansville, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Beth M Petersen |
|---|---|
| Address | Po Box 3868, Evansville, Indiana |
| Phone Number | 8124269779 |
| Fax Number | 8124266610 |
| Sole Proprietor | N |
| Credentials | PSY. D. HS |
NPI Number Detail
| NPI Number | 1518941384 |
|---|---|
| Provider Enumeration Date | 2005-12-05 |
| Last Updated Date | 2013-01-09 |
Provider Mailing Address Detail
| Address | Po Box 3868 |
|---|---|
| City | Evansville |
| State | Indiana (IN) |
| Post Code | 477373868 |
| Phone Number | 8124269779 |
| Fax Number | 8124266610 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 20042022A |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200806070 | IN | -- | |
| 371620 | IN | MHN TRICARE |
Post Comment/ Review Below
What is the unique identifier code issued to Beth M Petersen by the Centers for Medicare & Medicaid Services (CMS)?
The Beth M Petersen has been assigned the NPI (National Provider Identifier) 1518941384. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Beth M Petersen's facilities are geographically located?
The facilities of Beth M Petersen are physically situated at the following location: Po Box 3868, Evansville, IN, 477373868.
What is the Beth M Petersen's specialty and taxonomy code?
The Beth M Petersen's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
On what date did the Beth M Petersen receive its 1518941384 assignment from the Centers for Medicare & Medicaid Services?
The Beth M Petersen was assigned its 1518941384 by the Centers for Medicare & Medicaid Services on 2005-12-05.
When was the Beth M Petersen's information last updated?
The Beth M Petersen's information was last updated on 2013-01-09.
Address: Po Box 2333, Clay, NY
Address: 850 N Harrison St, Warsaw, IN
Address: 1143 Deer Trail Ln, Solvang, CA
Address: 7840 Oracle Pl, Potomac, MD
Address: Po Box 1289, Tampa, FL
Address: 727 N Waco Ave, Wichita, KS
Address: 1115 Elkton Dr, Colorado Springs, CO
Address: 501 S Washington St, Swayzee, IN
Address: 1709 Colley Ave, Norfolk, VA
Address: 3500 Depauw Blvd Ste 3070, Indianapolis, IN
Address: 54045 Ridge Rd, Yucca Valley, CA
Address: 7600 Osler Dr, Towson, MD
Address: 3000 Citrus Cir, Walnut Creek, CA
Address: 41 Park Ave, New York, NY
Address: 1935 County Road B2 W Ste 270, Roseville, MN