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

JANETTE SUSAN PETERSON

Active Sole Proprietor

JANETTE SUSAN PETERSON is a School Psychologist healthcare provider located in LEADORE, Idaho. NPI 1407433006 is currently active in the NPPES registry. Verify at CMS.

School Psychologist · LEADORE, ID

Registration Details

NPI Number
1407433006
Provider Type
Individual
Gender
Female
NPI Issued
Mar 28, 2021 (5.3920412372974 yrs)
Last Updated
Mar 28, 2021
License
0000641145 (TN)
Sole Proprietor
Yes

Practice Information

Address
27 HARVEY LN
LEADORE, ID, 834645035
Browse ID providers · Browse ZIP 83464
Phone
2083030307
Primary Specialty
School Psychologist
103TS0200X
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.