Individual
DR. KEVIN HOWARD PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED.D.
Contact information
Practice address
31 BALTIMORE ST, SUITE 103, CUMBERLAND, MD 21502-3024
(301) 795-3360
(301) 759-3360
Mailing address
12517 ELLIS RD NE, CUMBERLAND, MD 21502-6876
(301) 687-4389
(301) 759-3360
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
02746
MD
Other
Enumeration date
05/16/2007
Last updated
05/19/2009
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