Individual
ERIC DONALD PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
10740 MERIDIAN AVE N, SUITE 110, SEATTLE, WA 98133-9010
(206) 789-4868
Mailing address
10740 MERIDIAN AVE N, SUITE 110, SEATTLE, WA 98133-9010
(206) 789-4868
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1253
WA
Other
Enumeration date
12/01/2006
Last updated
03/08/2009
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