Individual
DR. JOEL STEPHEN PETERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1600 E JEFFERSON ST STE 115, SEATTLE, WA 98122-5643
(206) 320-7200
(206) 397-1096
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PY60866264
WA
103TC0700X
Clinical Psychologist
Primary
PY60866264
WA
103TR0400X
Rehabilitation Psychologist
PY60866264
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2105362
—
WA
Enumeration date
05/16/2018
Last updated
11/19/2025
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