Organization
CARL V. PETERSON, PH.D., LLC
Active
Other names
Carl V. Peterson, Ph.D.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARL V. PETERSON PH.D. (LICENSED PSYCHOLOGIST)
(541) 343-5501
Entity
Organization
Contact information
Practice address
286 E 18TH AVE, EUGENE, OR 97401-4159
(541) 343-5501
(541) 484-0416
Mailing address
286 E 18TH AVE, EUGENE, OR 97401-4159
(541) 343-5501
(541) 484-0416
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
386
OR
261QM0855X
Adolescent and Children Mental Health Clinic/Center
386
OR
Other
Enumeration date
11/26/2012
Last updated
11/26/2012
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