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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GREGORY PETERSEN, PHD

Active

GREGORY PETERSEN, PHD is a Clinical Psychologist healthcare provider located in ROANOKE, Virginia. NPI 1275509804 is currently active in the NPPES registry. Verify at CMS.

Clinical Psychologist · ROANOKE, VA

Registration Details

NPI Number
1275509804
Provider Type
Individual
Gender
Male
NPI Issued
Feb 24, 2006 (20.429515479362 yrs)
Last Updated
Jul 8, 2007
License
0810-002774 (VA)

Practice Information

Address
2017 JEFFERSON ST SW
ROANOKE, VA, 240142419
Browse VA providers · Browse ZIP 24014
Phone
5409817097
Primary Specialty
Clinical Psychologist
103TC0700X

Other Clinical Psychologist Providers in ROANOKE, VA

Name Credential NPI
GREGORY ROBINSON PHD 1770562019
WILLIAM WELLBORN PHD 1467432450
DAVID MESHORER PH.D. 1144291766
SAMUEL ROGERS JR. PH.D. 1467424895
TOMAS MARIANO PHD 1780650366
LORI DUDLEY PHD 1477529972
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.