Individual
GRACE KATHERINE PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMLP-T
Contact information
Practice address
7501 COLLEGE BLVD STE 250, OVERLAND PARK, KS 66210-2505
(913) 451-8550
Mailing address
17630 W 83RD TER, LENEXA, KS 66219-8141
(913) 617-6953
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
03326-T
KS
Other
Enumeration date
08/12/2024
Last updated
08/12/2024
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