Individual
SYDNEY PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6331 N 39TH AVE, PHOENIX, AZ 85019-1553
(602) 841-7445
Mailing address
6331 N 39TH AVE, PHOENIX, AZ 85019-1553
(602) 841-7445
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
AZ
Other
Enumeration date
08/31/2007
Last updated
10/15/2007
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