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Individual
ANNE TAYLOR PETERSON
Active
Individual
ANNE TAYLOR PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPA
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
166069
KY
103T00000X
Psychologist
Primary
285646
KY
103T00000X
Psychologist
PSYPAT 00218866
KY
Other
Enumeration date
08/19/2015
Last updated
02/21/2025
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