Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK PETERSON
ActiveMARK PETERSON is a Psychiatry healthcare provider located in SCOTT DEPOT, West Virginia. NPI 1477043842 is currently active in the NPPES registry. Verify at CMS.
Psychiatry · SCOTT DEPOT, WV
Registration Details
- NPI Number
- 1477043842
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 11, 2018 (8.073822277593 yrs)
- Last Updated
- May 30, 2024
- Licenses
-
30925 (WV)30925 (WV)
Practice Information
- Address
-
111 GREAT TEAYS BLVD STE 101SCOTT DEPOT, WV, 255609548Browse WV providers · Browse ZIP 25560
- Phone
- 3047578803
- Fax
- 3047576904
- Primary Specialty
-
Psychiatry
2084P0800X
- Additional Specialty
- Psychiatric Neurology
Other Psychiatry Providers in SCOTT DEPOT, WV
| Name | Credential | NPI |
|---|---|---|
| DR. APRIL MICHELE BAISDEN | M.D. | 1376763144 |
| SANJAY STANLEY MASILAMANI | M.D. | 1578721221 |
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.