Individual
DR. PETER VIETZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
465 GRAND ST, 3RD FLOOR, NEW YORK, NY 10002-4800
(347) 668-4992
(212) 420-1910
Mailing address
957 CEDARBROOK RD, PLAINFIELD, NJ 07060-2646
(347) 668-4992
(908) 757-8322
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
017065
NY
Other
Enumeration date
02/27/2007
Last updated
04/06/2015
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