Individual
DR. RYAN W PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
115 LIBERTY ST, BATH, NY 14810-1508
(607) 776-6577
(607) 664-2161
Mailing address
115 LIBERTY ST, BATH, NY 14810-1508
(607) 776-6577
(607) 664-2161
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
Primary
019091-1
NY
Other
Enumeration date
09/14/2007
Last updated
07/24/2012
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