# PETERSON PSYCHOLOGICAL SERVICES, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679812937
- **Authorized official:** F TOM PETERSON ED.D. (CLINICAL PSYCHOLOGIST)
- **Authorized official phone:** (406) 232-1595

## Contact information

- **Practice address:** 18 N. 8TH ST, MILES CITY, MT 59301
- **Practice address phone:** (406) 232-1595
- **Practice address fax:** (406) 232-1595
- **Mailing address:** PO BOX 176, MILES CITY, MT 59301-0176
- **Mailing address phone:** (406) 232-1595
- **Mailing address fax:** (406) 232-1595

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC2200X | Clinical Child & Adolescent Psychologist | 119 | MT | Yes |

## Other

- **Enumeration date:** 02/06/2013
- **Last updated:** 04/08/2019