Individual
DR. TAMIQUE RIDGARD PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
125 KINGS HWY N, WESTPORT, CT 06880-2428
(914) 418-4166
Mailing address
125 KINGS HWY N, WESTPORT, CT 06880-2428
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
022921
NY
103T00000X
Psychologist
Primary
4292
CT
103T00000X
Psychologist
—
—
Other
Enumeration date
09/13/2018
Last updated
08/10/2024
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