Individual
DR. ROBERT LYNN PETERSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHD, LP
Contact information
Practice address
200 4TH AVE W, GOVERNMENT CENTER RM 300, SHAKOPEE, MN 55379-1220
(952) 496-8401
Mailing address
200 4TH AVE W, GOVERNMENT CENTER RM 300, SHAKOPEE, MN 55379-1220
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2415
MN
Other
Enumeration date
07/18/2005
Last updated
07/08/2007
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