Individual
MR. ROBERT PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS
Contact information
Practice address
121 COMMERCIAL DR # B, STUTTGART, AR 72160-7033
(870) 673-1633
(870) 673-1253
Mailing address
2500 RIKE DRIVE, PINE BLUFF, AR 71603
(870) 534-1834
(870) 534-5798
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116378726
—
AR
Enumeration date
08/06/2013
Last updated
06/29/2015
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