Individual
ALLAN T. PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY. D, MDIV
Contact information
Practice address
4300 W IRVING PARK RD, COUNSELING CENTER, CHICAGO, IL 60641-2825
(773) 736-1447
(773) 736-6970
Mailing address
4610 WINCHESTER AVE, LYONS, IL 60534-1778
(708) 447-8129
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
IL
103TC0700X
Clinical Psychologist
—
IL
Other
Enumeration date
05/01/2006
Last updated
09/11/2025
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