Individual
DR. KRISTINA PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
2034 MEADOWS EDGE LN, LOUISVILLE, KY 40245-4735
(502) 373-6733
Mailing address
PO BOX 43072, LOUISVILLE, KY 40253-0072
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
283633
KY
Other
Enumeration date
05/10/2023
Last updated
05/10/2023
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