Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. PAUL CHARLES PETERSON, MD
ActiveDR. PAUL CHARLES PETERSON, MD is a Psychoanalysis healthcare provider located in SAINT CLOUD, Minnesota. NPI 1902805518 is currently active in the NPPES registry. Verify at CMS.
Psychoanalysis · SAINT CLOUD, MN
Registration Details
- NPI Number
- 1902805518
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 15, 2005 (21.056529621684 yrs)
- Last Updated
- Apr 23, 2020
- Licenses
-
200300395 (NC)200300395 (NC)200300395 (NC)64851 (MN)
Practice Information
- Address
-
1200 6TH AVE NSAINT CLOUD, MN, 563032735Browse MN providers · Browse ZIP 56303
- Phone
- 3202557891
- Fax
- 3202555882
- Primary Specialty
-
Psychoanalysis
2084V0102X
- Additional Specialty
- Sleep Medicine (Psychiatry)
- Additional Specialty
- Psychoanalysis
- Additional Specialty
- Psychoanalysis
Other Psychoanalysis Providers in SAINT CLOUD, MN
| Name | Credential | NPI |
|---|---|---|
| SMIT PRAFULCHANDRA SHAH | MD | 1508421488 |
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.