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Individual

DR. GAIL PETERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Taxonomy

Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
071-002561
IL
103TB0200X
Cognitive & Behavioral Psychologist
2006006592
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
03972011
BLUE CROSS/ BLUE SHIELD
IL
01
126480
HEALTHLINK PROVIDER #
IL
01
27485
HEALTH ALLIANCE MEDICAL PLANS
IL
Enumeration date
01/20/2006
Last updated
07/03/2013
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