Individual
STEPHANIE PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5200 WILLSON RD STE 215, EDINA, MN 55424-1316
(612) 787-2344
Mailing address
5021 VERNON AVE S STE 147, EDINA, MN 55436-2102
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP6195
MN
Other
Enumeration date
01/12/2015
Last updated
02/19/2019
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