Individual
CHRISTINE RENE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
800 NE 9TH ST, MADISON, SD 57042-1104
(605) 256-7710
Mailing address
418 S MICKELSON AVE, VERMILLION, SD 57069-3473
(585) 520-5356
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
02679982
SD
Other
Enumeration date
08/28/2025
Last updated
08/28/2025
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