Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PAUL WYNN PETERSON, LAMFT
Active Sole ProprietorMarriage & Family Therapist · BELLA VISTA, AR
Registration Details
- NPI Number
- 1699231472
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 16, 2019 (7.1860525039326 yrs)
- Last Updated
- Feb 16, 2019
- License
-
F1811011 (AR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
17 FOLKINGHAM LNBELLA VISTA, AR, 727153042Browse AR providers · Browse ZIP 72715
- Phone
- 5012607324
- Primary Specialty
-
Marriage & Family Therapist
106H00000X
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.