| Kevin H. Peterson | |
|
31 Baltimore St Suite 103 Cumberland MD 21502-3072 | |
| (301) 759-3360 | |
| (301) 759-3360 |
| Full Name | Kevin H. Peterson |
|---|---|
| Speciality | Psychologist |
| Location | 31 Baltimore St, Cumberland, Maryland |
| Authorized Official Name and Position | Kevin Howard Peterson (PRESIDENT) |
| Authorized Official Contact | 3017593360 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin H. Peterson 12517 Ellis Rd Ne Cumberland MD 21502-6876 Ph: (301) 759-3360 | Kevin H. Peterson 31 Baltimore St Suite 103 Cumberland MD 21502-3072 Ph: (301) 759-3360 |
| NPI Number | 1508048554 |
|---|---|
| Provider Enumeration Date | 12/01/2007 |
| Last Update Date | 05/28/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508048554 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 02746 (Maryland) | Primary |
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