Individual
JUDITH ANN PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
15420 SMOLAND LN NE, BAINBRIDGE ISLAND, WA 98110-1040
(206) 818-9573
Mailing address
15420 SMOLAND LN NE, BAINBRIDGE ISLAND, WA 98110-1040
(206) 818-9573
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
60150527
WA
2084N0600X
Clinical Neurophysiology Physician
Primary
601-505-27
WA
Other
Enumeration date
08/09/2018
Last updated
08/09/2018
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