Individual
DR. REBECCA PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
248 E GLENN AVE, AUBURN, AL 36830-4818
(334) 821-3350
(334) 821-3252
Mailing address
248 E GLENN AVE, AUBURN, AL 36830-4818
(334) 821-3350
(334) 821-3252
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1153
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
198517
VALUE OPTIONS
AL
01
—
51533703
BCBS
AL
Enumeration date
09/20/2006
Last updated
07/08/2007
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