Individual
DANA T PETERSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CLINICAL PSYCH
Contact information
Practice address
250 WOOD RD, ANNAPOLIS, MD 21402-1257
(410) 293-4378
Mailing address
250 WOOD RD, ANNAPOLIS, MD 21402-1257
(410) 293-4378
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS015607
PA
Other
Enumeration date
01/26/2006
Last updated
07/08/2007
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