Individual
DR. EDWARD THOMAS PETEROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1935 DOMINION WAY, SUITE A102, COLORADO SPRINGS, CO 80918-1464
(719) 599-7882
(719) 598-1437
Mailing address
PO BOX 1562, COLORADO SPRINGS, CO 80901-1562
(719) 599-7882
(719) 598-1437
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
970
CO
Other
Enumeration date
09/15/2006
Last updated
07/08/2007
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