Individual
DR. CAROL B PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED. D.
Contact information
Practice address
7400 NEW LA GRANGE RD, STE 312, LOUISVILLE, KY 40222-4870
(502) 394-9990
(502) 394-9992
Mailing address
7400 NEW LA GRANGE RD, STE 312, LOUISVILLE, KY 40222-4870
(502) 394-9990
(502) 394-9992
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
1140
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000174990
ANTHEM
KY
01
—
130215
APS
KY
01
—
177855
COMPSYCH
KY
01
—
2144611
CIGNA
KY
01
—
243740
UNITED BEHAVIORAL HEALTH
KY
01
—
273699000
MAGELLAN
KY
01
—
348656
MHN
KY
01
—
476947
VALUE OPTIONS
KY
01
—
7830266
AETNA
KY
05
—
89000129
—
KY
Enumeration date
01/05/2006
Last updated
01/05/2011
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