Individual
MS. ASTRID ELAINE PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
2214 E 13TH ST, MS: S-27, VANCOUVER, WA 98661-4120
(360) 696-6321
(360) 737-2120
Mailing address
2214 E 13TH ST, MS: S-27, VANCOUVER, WA 98661-4120
(360) 696-6321
(360) 737-2120
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
324031D
WA
Other
Enumeration date
09/12/2012
Last updated
09/12/2012
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