Paul Wynn Peterson, LAMFT is a
Marriage & Family Therapist based in Bella Vista, Arkansas. Paul Wynn Peterson is licensed to practice in Arkansas (license number F1811011) and his current practice location is
17 Folkingham Ln, Bella Vista, Arkansas. He can be reached at his office (for appointments etc.) via phone at
(501) 260-7324.
NPI number for Paul Wynn Peterson is 1699231472 and his current mailing address is Po Box 5922, Bella Vista, Arkansas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1699231472.
Healthcare Provider's Profile
Full Name | Paul Wynn Peterson |
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Gender | Male |
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Speciality | Marriage & Family Therapist |
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Location | 17 Folkingham Ln, Bella Vista, Arkansas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1699231472
- Provider Enumeration Date: 02/16/2019
- Last Update Date: 02/16/2019
Medical Identifiers
Medical identifiers for Paul Wynn Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1699231472 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | F1811011 (Arkansas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Paul Wynn Peterson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Paul Wynn Peterson, LAMFT Po Box 5922, Bella Vista, AR 72714-0922 Ph: (501) 260-7324 | Paul Wynn Peterson, LAMFT 17 Folkingham Ln, Bella Vista, AR 72715-3042 Ph: (501) 260-7324 |
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