Individual
DR. PETRA E PEPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
4047 N 40TH PL, PHOENIX, AZ 85018-5206
(602) 313-0927
Mailing address
PO BOX 12216, SCOTTSDALE, AZ 85267-2216
(602) 313-0927
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3469
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3469
LICENSE
AZ
Enumeration date
04/13/2007
Last updated
01/06/2016
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