Individual
DALE L PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2218 EASTVIEW AVE, LOUISVILLE, KY 40205-2663
(410) 688-6377
Mailing address
2218 EASTVIEW AVE, LOUISVILLE, KY 40205-2663
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
298385
KY
103TC0700X
Clinical Psychologist
4759
CO
Other
Enumeration date
04/17/2007
Last updated
04/19/2026
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