Organization
JOANNE PETERSON EDD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANNE PETERSON EDD (SOLE PRACTITIONER)
(815) 409-6606
Entity
Organization
Contact information
Practice address
40 BAYNARD COVE RD, HILTON HEAD ISLAND, SC 29928-4135
(815) 409-6606
(843) 363-9997
Mailing address
40 BAYNARD COVE RD, HILTON HEAD ISLAND, SC 29928-4135
(815) 409-6606
(843) 363-9997
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
796
SC
Other
Enumeration date
10/24/2016
Last updated
01/24/2017
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