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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JOHN ANTHONY PETERSEN, PSY.D.

Active Sole Proprietor

DR. JOHN ANTHONY PETERSEN, PSY.D. is a Psychologist healthcare provider located in SOUTH BEND, Indiana. NPI 1851491526 is currently active in the NPPES registry. Verify at CMS.

Psychologist · SOUTH BEND, IN

Registration Details

NPI Number
1851491526
Provider Type
Individual
Gender
Male
NPI Issued
Sep 23, 2006 (19.850126222 yrs)
Last Updated
Dec 1, 2018
License
20041594A (IN)
Sole Proprietor
Yes

Practice Information

Address
922 E WAYNE ST # 205
SOUTH BEND, IN, 466173024
Browse IN providers · Browse ZIP 46617
Phone
5742808199
Primary Specialty
Psychologist
103T00000X

Other Psychologist Providers in SOUTH BEND, IN

Name Credential NPI
MS. MARIE K UDULUTCH PSYD 1851376149
JOANN MICHELLE JACKSON PSY.D. 1194739904
DR. JOYCE BLOCK PHD 1841308756
DR. JOSEPHINE ANN DICKINSON PH.D. 1477838704
MEGAN HARRITY PH.D. 1790199529
WILLIAM BRUINSMA PSYD 1598145484
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.