Individual
ALEXANDER THOMAS PETTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, CGC
Contact information
Practice address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(800) 243-1455
Mailing address
PO BOX 850, HERSHEY, PA 17033-0850
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
255
CT
170300000X
Genetic Counselor (M.S.)
Primary
OGC000034
PA
Other
Enumeration date
05/13/2019
Last updated
09/21/2021
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