Individual
DR. CHANTAL MARIE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1770 RAND RD, RAPID CITY, SD 57702-9347
(605) 791-1514
(844) 831-2349
Mailing address
1770 RAND RD, RAPID CITY, SD 57702-9347
(605) 791-1514
(844) 831-2349
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
515
SD
Other
Enumeration date
05/12/2014
Last updated
04/15/2024
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