MARK PETERSON

Psychiatry & Neurology - Psychiatry

Active Individual
NPI: 1477043842

Practice Address

111 GREAT TEAYS BLVD STE 101
Scott Depot, WV 25560

Phone: (304) 757-8803

Specialties

Specialty Code Primary License
Psychiatry & Neurology - Psychiatry 2084P0800X Yes 30925 (WV)
Psychiatry & Neurology - Child & Adolescent Psychiatry 2084P0804X No 30925 (WV)

Frequently Asked Questions

NPI 1477043842 is the National Provider Identifier for MARK PETERSON, a Psychiatry & Neurology - Psychiatry provider located in Scott Depot, WV. This NPI was enumerated on May 11, 2018.
MARK PETERSON practices at 111 GREAT TEAYS BLVD STE 101, Scott Depot, WV 25560.

Quick Facts

NPI
1477043842
Type
Individual
Enumerated
May 11, 2018
Last Updated
May 30, 2024

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