Individual
DR. CAROL BROOKE PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2450 RIVERSIDE AVE, 2A WEST, MINNEAPOLIS, MN 55454-1450
(612) 273-8700
(612) 273-8787
Mailing address
5775 WAYZATA BLVD STE 255, ST LOUIS PARK, MN 55416-1275
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP3201
MN
Other
Enumeration date
08/01/2006
Last updated
05/25/2017
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