Kevin Lee Petersen in Rochester - Clinical
Kevin Lee Petersen - NPI 1578759270
Kevin Lee Petersen is a Clinical in Rochester, Minnesota. Kevin Lee Petersen practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kevin Lee Petersen is 1578759270. The last update date is 2020-03-13.
Kevin Lee Petersen's current location address is 401 16th St Se, Rochester, Minnesota. You can contact this provider via phone number 5073154184 and fax number 5075160031. The mailing address for Kevin Lee Petersen is 401 16th St Se, Rochester, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin Lee Petersen |
|---|---|
| Address | 401 16th St Se, Rochester, Minnesota |
| Phone Number | 5073154184 |
| Fax Number | 5075160031 |
| Sole Proprietor | N |
| Credentials | LMHC |
NPI Number Detail
| NPI Number | 1578759270 |
|---|---|
| Provider Enumeration Date | 2007-09-18 |
| Last Updated Date | 2020-03-13 |
Provider Mailing Address Detail
| Address | 401 16th St Se |
|---|---|
| City | Rochester |
| State | Minnesota (MN) |
| Post Code | 559047973 |
| Phone Number | 5073154184 |
| Fax Number | 5075160031 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | LP6513 |
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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 identifier code issued to Kevin Lee Petersen by the Centers for Medicare & Medicaid Services?
The Kevin Lee Petersen has been assigned the NPI (National Provider Identifier) 1578759270. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Kevin Lee Petersen is located?
The Kevin Lee Petersen is situated at the following address: 401 16Th St Se, Rochester, MN, 559047973.
What is Kevin Lee Petersen's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Kevin Lee Petersen is Clinical, and the taxonomy classification code that categorizes this area of expertise is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1578759270 to Kevin Lee Petersen?
The Centers for Medicare & Medicaid Services assigned the 1578759270 to Kevin Lee Petersen on 2007-09-18.
When was the Kevin Lee Petersen's information last updated?
The Kevin Lee Petersen's information was last updated on 2020-03-13.
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