Individual
STEVEN THOMAS PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
651 N STATE ST, CARO, MI 48723-1543
(989) 673-5700
Mailing address
1475 E BROWN RD, MAYVILLE, MI 48744-9503
(810) 728-8043
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301017202
MI
390200000X
Student in an Organized Health Care Education/Training Program
6301015994
MI
Other
Enumeration date
08/12/2016
Last updated
10/04/2018
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