Individual
DR. MICHAEL HOWARD PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
37 RIVIERA DR, SELDEN, NY 11784-1765
(631) 487-5632
Mailing address
37 RIVIERA DR, SELDEN, NY 11784-1765
(631) 487-5632
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
010800
NY
Other
Enumeration date
01/12/2007
Last updated
07/08/2007
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