Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KATHLEEN GERYL PETERSEN, PH.D.
Active Sole ProprietorDR. KATHLEEN GERYL PETERSEN, PH.D. is a Psychologist healthcare provider located in ST. LOUIS, Missouri. NPI 1518023803 is currently active in the NPPES registry. Verify at CMS.
Psychologist · ST. LOUIS, MO
Registration Details
- NPI Number
- 1518023803
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 29, 2006 (19.616343588081 yrs)
- Last Updated
- Jul 12, 2010
- License
-
PYRO278 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
7106 DALE AVENUEST. LOUIS, MO, 631171927Browse MO providers · Browse ZIP 63117
- Phone
- 3146475522
- Fax
- 3148270067
- Primary Specialty
-
Psychologist
103T00000X
Other Psychologist Providers in ST. LOUIS, MO
| Name | Credential | NPI |
|---|---|---|
| DR. ROBERT ROCCO COTTONE | PH.D. | 1649375965 |
| MR. DONALD TREVOR CROSS | PH.D. | 1134446602 |
| DEBRA H ZAND | PHD | 1043500507 |
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.