Individual
DR. WILLIAM C PETERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
5351 DELMAR BLVD, SAINT LOUIS, MO 63112-3146
(314) 877-0685
(314) 877-0553
Mailing address
7106 DALE AVE, RICHMOND HEIGHTS, MO 63117-1927
(314) 647-6303
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
01531
MO
Other
Enumeration date
10/17/2006
Last updated
06/12/2008
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