Organization
CENTER FOR PSYCHOLOGICAL AND EDUCATIONAL ASSESSMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS VICTOR PETROS PH.D. (PROFESSOR OF PSYCHOLOGY)
(701) 777-3260
Entity
Organization
Contact information
Practice address
290 CENTENNIAL DR STOP 7108, 210 MONTGOMERY HALL, GRAND FORKS, ND 58202-6063
(701) 777-3260
(701) 777-3454
Mailing address
290 CENTENNIAL DR STOP 7108, 210 MONTGOMERY HALL, GRAND FORKS, ND 58202-6063
(701) 777-3260
(701) 777-3454
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
231
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14870
BC BS OF ND
ND
Enumeration date
06/12/2007
Last updated
08/22/2020
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