Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MAGNUM PETERSON, EDS
Active Sole ProprietorSchool Psychologist · RED OAK, IA
Registration Details
- NPI Number
- 1922722354
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 29, 2022 (3.5690322474182 yrs)
- Last Updated
- Sep 29, 2022
- License
-
1196254 (NC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
607 E OAK STRED OAK, IA, 515661642Browse IA providers · Browse ZIP 51566
- Phone
- 3367390069
- 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.