Individual
RACHEL ANN PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
T-LLP
Contact information
Practice address
30400 TELEGRAPH RD STE 331, BINGHAM FARMS, MI 48025-4573
(541) 221-5733
Mailing address
31460 JOHN R RD APT 137, MADISON HEIGHTS, MI 48071-1974
(541) 221-5733
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6362009710
MI
Other
Enumeration date
09/13/2024
Last updated
09/13/2024
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