Individual
DR. TREVOR J PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, LCP
Contact information
Practice address
905 MAIN ST STE 200A, KLAMATH FALLS, OR 97601-6066
(541) 205-9218
Mailing address
905 MAIN ST STE 200A, KLAMATH FALLS, OR 97601-6066
(541) 205-9218
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2913
OR
Other
Enumeration date
09/21/2021
Last updated
11/20/2023
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