Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KATHLEEN MICHELLE PETERSEN, PHD
Active Sole ProprietorDR. KATHLEEN MICHELLE PETERSEN, PHD is a School Psychologist healthcare provider located in EXCELSIOR, Minnesota. NPI 1609510858 is currently active in the NPPES registry. Verify at CMS.
School Psychologist · EXCELSIOR, MN
Registration Details
- NPI Number
- 1609510858
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 25, 2022 (4.3138174144449 yrs)
- Last Updated
- Apr 25, 2022
- License
-
5567 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
202 WATER ST STE 208EXCELSIOR, MN, 553311887Browse MN providers · Browse ZIP 55331
- Phone
- 6126153575
- 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.