Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PATRICIA MARY PETERSON
Active Sole ProprietorCognitive & Behavioral Psychologist · BURNSVILLE, MN
Registration Details
- NPI Number
- 1821166653
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 1, 2006 (19.431573604718 yrs)
- Last Updated
- Jul 9, 2007
- License
-
LP3202 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1500 MCANDREWS RD WSUITE 224BURNSVILLE, MN, 553374432Browse MN providers · Browse ZIP 55337
- Phone
- 6123254018
- Fax
- 9528921722
- Primary Specialty
-
Cognitive & Behavioral Psychologist
103TB0200X
Other Cognitive & Behavioral Psychologist Providers in BURNSVILLE, MN
| Name | Credential | NPI |
|---|---|---|
| JERRY BLUME | LICSW | 1518067701 |
| GRACE RAASCH | — | 1487221792 |
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.