Individual
DR. CHARLOTTE PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2715 EMERALD ST, EUGENE, OR 97403-2503
(541) 484-9940
(541) 686-8075
Mailing address
2715 EMERALD ST, EUGENE, OR 97403-2503
(541) 484-9940
(541) 686-8075
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
514
OR
Other
Enumeration date
01/17/2007
Last updated
07/08/2007
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