Gordon E. Petersen in Winchester - Marriage & Family Therapist

Gordon E. Petersen - NPI 1346304854

Gordon E. Petersen is a Marriage & Family Therapist in Winchester, California. Gordon E. Petersen practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Gordon E. Petersen is 1346304854. The last update date is 2007-07-08.

Gordon E. Petersen's current location address is 32297 Daisy Dr, Winchester, California. You can contact this provider via phone number 9515229647. The mailing address for Gordon E. Petersen is 32297 Daisy Dr, Winchester, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Gordon E. Petersen
Address 32297 Daisy Dr, Winchester, California
Phone Number 9515229647
Fax Number
Sole Proprietor Y
Credentials LMFT

NPI Number Detail

NPI Number 1346304854
Provider Enumeration Date 2006-12-20
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 32297 Daisy Dr
City Winchester
State California (CA)
Post Code 925968953
Phone Number 9515229647
Fax Number

Provider's Primary Taxonomy Detail

Speciality Marriage & Family Therapist
Taxonomy 106H00000X
Licence No MFT38925
Definition:
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives

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FAQs about Gordon E. Petersen

What is the unique provider identifier assigned to Gordon E. Petersen?

The Gordon E. Petersen has been issued the NPI (National Provider Identifier) 1346304854 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical address where Gordon E. Petersen is geographically located?

The Gordon E. Petersen is physically situated at the following location: 32297 Daisy Dr, Winchester, CA, 925968953.

What is the Gordon E. Petersen's area of specialization and corresponding taxonomy classification?

The Gordon E. Petersen's specialty field is Marriage & Family Therapist, and it falls under the taxonomy code 106H00000X, which categorizes healthcare providers based on their specialties.

On what date did the Gordon E. Petersen receive the assignment of its 1346304854 from the Centers for Medicare & Medicaid Services?

The Gordon E. Petersen was issued its 1346304854 by the Centers for Medicare & Medicaid Services on 2006-12-20.

As of what date was the information regarding Gordon E. Petersen, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Gordon E. Petersen, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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