DR. GARY PETERSON, PH.D.
Psychologist
Active
Individual
NPI: 1114130465
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Psychologist | 103T00000X | No | 578 (AZ) |
Frequently Asked Questions
NPI 1114130465 is the National Provider Identifier for DR. GARY PETERSON, PH.D., a Psychologist provider located in Ketchum, ID. This NPI was enumerated on May 7, 2007.
DR. GARY PETERSON, PH.D. practices at 675 SUN VALLEY ROAD, C, Ketchum, ID 83340.
Quick Facts
- NPI
- 1114130465
- Type
- Individual
- Enumerated
- May 7, 2007
- Last Updated
- Aug 5, 2010
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