Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
CAROL B. PETERSON PH.D., L.P., LLC
Active
Organization
CAROL B. PETERSON PH.D., L.P., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROL BROOKE PETERSON PH.D. (LICENSED PSYCHOLOGIST)
(763) 595-7294
Entity
Organization
Contact information
Practice address
5101 OLSON MEMORIAL HWY, SUITE 4005, GOLDEN VALLEY, MN 55422-5149
(763) 595-7294
(763) 595-7293
Mailing address
2862 JAMES AVE S, MINNEAPOLIS, MN 55408-1822
(763) 595-7294
(763) 595-7293
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
LP3201
MN
Other
Enumeration date
07/31/2006
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up