Individual
DR. KRISTA PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.L.P.
Contact information
Practice address
6600 FRANCE AVE S STE 230, EDINA, MN 55435-1810
(952) 460-2084
Mailing address
6600 FRANCE AVE S STE 230, EDINA, MN 55435-1810
(952) 460-2084
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
5777
MN
103TC0700X
Clinical Psychologist
Primary
5777
MN
Other
Enumeration date
01/26/2015
Last updated
01/26/2015
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