Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DAMON PETERSON, M.ED, PBSF
Active Sole ProprietorDAMON PETERSON, M.ED, PBSF is a Emotionally Disturbed Children Residential Treatment healthcare provider located in PETERSBURG, Virginia. NPI 1194042515 is currently active in the NPPES registry. Verify at CMS.
Emotionally Disturbed Children Residential Treatment · PETERSBURG, VA
Registration Details
- NPI Number
- 1194042515
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 24, 2010 (16.312644369571 yrs)
- Last Updated
- Apr 24, 2010
- License
-
148 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
24812 BRICKWOOD MEADOW LNPETERSBURG, VA, 238038869Browse VA providers · Browse ZIP 23803
- Phone
- 8048615201
- Primary Specialty
-
Emotionally Disturbed Children Residential Treatment
320900000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.