Individual
DR. JOANNE PETURSSON
Active
Individual
DR. JOANNE PETURSSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
PS017674
PA
Other
Enumeration date
09/03/2014
Last updated
09/23/2014
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