Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KEVIN LEE PETERSEN, LMHC
ActiveMR. KEVIN LEE PETERSEN, LMHC is a Clinical Psychologist healthcare provider located in ROCHESTER, Minnesota. NPI 1578759270 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · ROCHESTER, MN
Registration Details
- NPI Number
- 1578759270
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 18, 2007 (18.874296844181 yrs)
- Last Updated
- Mar 13, 2020
- Licenses
-
LP6513 (MN)00399 (IA)
Practice Information
- Address
-
401 16TH ST SEROCHESTER, MN, 559047973Browse MN providers · Browse ZIP 55904
- Phone
- 5073154184
- Fax
- 5075160031
- Primary Specialty
-
Clinical Psychologist
103TC0700X
- Additional Specialty
- Mental Health Counselor
Other Clinical Psychologist Providers in ROCHESTER, MN
| Name | Credential | NPI |
|---|---|---|
| DR. MICHAEL R BASSO | PH.D. | 1497751291 |
| SHAWNA LEE EHLERS | PHD | 1396722013 |
| KRISTIN S VICKERS | PHD | 1497733117 |
| RICHARD JOHN SEIME | PHD | 1497733802 |
| MATTHEW M. CLARK | PHD | 1366420895 |
| DR. NORMAN HANS RASMUSSEN | EDD | 1740268036 |
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.