Organization
PETERSON PSYCHOLOGICAL SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
F TOM PETERSON ED.D. (CLINICAL PSYCHOLOGIST)
(406) 232-1595
Entity
Organization
Contact information
Practice address
18 N. 8TH ST, MILES CITY, MT 59301
(406) 232-1595
(406) 232-1595
Mailing address
PO BOX 176, MILES CITY, MT 59301-0176
(406) 232-1595
(406) 232-1595
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
119
MT
Other
Enumeration date
02/06/2013
Last updated
04/08/2019
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