Individual
MR. DAVID PETERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
UNIVERSITY OF MARYLAND, 1209 SHOEMAKER BUILDING, COLLEGE PARK, MD 20742-0001
(301) 314-9792
Mailing address
14724 LOCUSTWOOD LN, SILVER SPRING, MD 20905-6424
(301) 388-0650
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
03772
MD
Other
Enumeration date
05/25/2007
Last updated
07/08/2007
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