Individual
MARK M PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
900 BRYAN ST, SUITE 5, HUNTINGDON, PA 16652-2413
(814) 643-6300
(814) 643-8776
Mailing address
900 BRYAN ST, SUITE 5, HUNTINGDON, PA 16652-2413
(814) 643-6300
(814) 643-8776
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS008155L
PA
103TA0400X
Addiction (Substance Use Disorder) Psychologist
PS008155L
PA
103TB0200X
Cognitive & Behavioral Psychologist
PS008155L
PA
103TC1900X
Counseling Psychologist
PS008155L
PA
103TF0000X
Family Psychologist
PS008155L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1365219
BLUE SHIELD
PA
01
—
207627
VALUE OPTIONS
PA
01
—
401131
BLUE SHIELD (MANAGED CARE
PA
Enumeration date
08/31/2006
Last updated
09/11/2025
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