Individual
DR. ANNE VIRGINIA PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
STADIUM RD, 235 COUNSELING CTR, STONY BROOK, NY 11794-3100
(631) 632-6951
Mailing address
135 QUAKER PATH, SETAUKET, NY 11733-2213
(631) 689-6324
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
010906
NY
Other
Enumeration date
12/04/2006
Last updated
07/08/2007
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