Individual
ASHLEY MARIE PETERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
32 MAIN ST STE D, PARK RIDGE, IL 60068-4060
(847) 823-4444
Mailing address
509 W 10TH ST, ANTIOCH, CA 94509-1653
(925) 777-9540
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/16/2008
Last updated
04/19/2019
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