Connie Lynn Petersen in Norfolk - Clinical
Connie Lynn Petersen - NPI 1598958811
Connie Lynn Petersen is a Clinical in Norfolk, Nebraska. Connie Lynn Petersen practices all healthcare services and medical treatments related to Clinical. The NPI Number for Connie Lynn Petersen is 1598958811. The last update date is 2022-04-11.
Connie Lynn Petersen's current location address is 1900 Vicki Ln, Norfolk, Nebraska. You can contact this provider via phone number 4023703140 and fax number 4028443131. The mailing address for Connie Lynn Petersen is 1900 Vicki Ln, Norfolk, Nebraska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Connie Lynn Petersen |
|---|---|
| Address | 1900 Vicki Ln, Norfolk, Nebraska |
| Phone Number | 4023703140 |
| Fax Number | 4028443131 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1598958811 |
|---|---|
| Provider Enumeration Date | 2007-08-21 |
| Last Updated Date | 2022-04-11 |
Provider Mailing Address Detail
| Address | 1900 Vicki Ln |
|---|---|
| City | Norfolk |
| State | Nebraska (NE) |
| Post Code | 687014558 |
| Phone Number | 4023703140 |
| Fax Number | 4028443131 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 310 |
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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 10-digit identification code issued to Connie Lynn Petersen by the Centers for Medicare & Medicaid Services?
The Connie Lynn Petersen has been assigned the NPI (National Provider Identifier) 1598958811 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Connie Lynn Petersen's facilities are situated?
The facilities of Connie Lynn Petersen are physically located at the following address: 1900 Vicki Ln, Norfolk, NE, 687014558.
What is the Connie Lynn Petersen's area of specialization and corresponding taxonomy classification?
The Connie Lynn Petersen'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 Centers for Medicare & Medicaid Services issue the 1598958811 to Connie Lynn Petersen?
The Connie Lynn Petersen received its 1598958811 assignment from the Centers for Medicare & Medicaid Services on 2007-08-21.
As of what date was the information pertaining to Connie Lynn Petersen, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Connie Lynn Petersen, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2022-04-11.