Carol B. Peterson Ph.D., L.P., Llc in Minneapolis - Mental Health (including Community Mental Health Center)
Carol B. Peterson Ph.D., L.P., Llc - NPI 1114932522
Carol B. Peterson Ph.D., L.P., Llc is a Mental Health (including Community Mental Health Center) in Minneapolis, Minnesota. Carol B. Peterson Ph.D., L.P., Llc practices all healthcare services and medical treatments related to Mental Health (including Community Mental Health Center). The NPI Number for Carol B. Peterson Ph.D., L.P., Llc is 1114932522. The last update date is 2020-08-22.
Carol B. Peterson Ph.D., L.P., Llc's current location address is 2862 James Ave S, Minneapolis, Minnesota. You can contact this provider via phone number 7635957294 and fax number 7635957293. The mailing address for Carol B. Peterson Ph.D., L.P., Llc is 2862 James Ave S, Minneapolis, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Carol B. Peterson Ph.D., L.P., Llc |
|---|---|
| Address | 2862 James Ave S, Minneapolis, Minnesota |
| Phone Number | 7635957294 |
| Fax Number | 7635957293 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | LICENSED P |
|---|---|
| Authorized Official Name | Peterson Brooke Carol |
| Credentials | PH.D. |
| Telephone Number | 7635957294 |
NPI Number Detail
| NPI Number | 1114932522 |
|---|---|
| Provider Enumeration Date | 2006-07-31 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2862 James Ave S |
|---|---|
| City | Minneapolis |
| State | Minnesota (MN) |
| Post Code | 554081822 |
| Phone Number | 7635957294 |
| Fax Number | 7635957293 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health (including Community Mental Health Center) |
|---|---|
| Taxonomy | 261Qm0801X |
| Licence No | LP3201 |
|
Definition: Assesses and treats psychiatric issues, mental illnesses, and substance abuse disorders through counseling, therapy, and medication management. |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Carol B. Peterson Ph.D., L.P., Llc by the Centers for Medicare & Medicaid Services?
The Carol B. Peterson Ph.D., L.P., Llc has been assigned the NPI (National Provider Identifier) 1114932522 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Carol B. Peterson Ph.D., L.P., Llc's physical address?
The Carol B. Peterson Ph.D., L.P., Llc is physically located at 2862 James Ave S, in the city of Minneapolis, MN, with the postal code 554081822.
What is Carol B. Peterson Ph.D., L.P., Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Carol B. Peterson Ph.D., L.P., Llc is Mental Health (including Community Mental Health Center), and the taxonomy code that categorizes this field of expertise is 261Qm0801X.
On what date did the Carol B. Peterson Ph.D., L.P., Llc receive the assignment of its 1114932522 from the Centers for Medicare & Medicaid Services?
The Carol B. Peterson Ph.D., L.P., Llc was issued its 1114932522 by the Centers for Medicare & Medicaid Services on 2006-07-31.
As of what date were the Carol B. Peterson Ph.D., L.P., Llc's details last updated?
The information pertaining to the Carol B. Peterson Ph.D., L.P., Llc, including its address, specialty, and other details, was most recently updated on 2020-08-22.