| Carl V. Peterson, Ph.d. | |
|
286 E 18th Ave Eugene OR 97401-4159 | |
| (541) 343-5501 | |
| (541) 484-0416 |
| Full Name | Carl V. Peterson, Ph.d. |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 286 E 18th Ave, Eugene, Oregon |
| Authorized Official Name and Position | Carl V. Peterson (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 5413435501 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carl V. Peterson, Ph.d. 286 E 18th Ave Eugene OR 97401-4159 Ph: (541) 343-5501 | Carl V. Peterson, Ph.d. 286 E 18th Ave Eugene OR 97401-4159 Ph: (541) 343-5501 |
| NPI Number | 1659615938 |
|---|---|
| Provider Enumeration Date | 11/26/2012 |
| Last Update Date | 11/26/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659615938 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 386 (Oregon) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | 386 (Oregon) | Secondary |
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