| Paula M Peterson | |
|
803 Providence Rd Suite 102 Wayne NE 68787-1623 | |
| (402) 833-1410 | |
| Not Available |
| Full Name | Paula M Peterson |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 803 Providence Rd, Wayne, Nebraska |
| Authorized Official Name and Position | Paula Marie Jeannette Peterson (COUNSELOR) |
| Authorized Official Contact | 4028331410 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Paula M Peterson 803 Providence Rd Ste. 102 Wayne NE 68787-1519 Ph: (402) 833-1410 | Paula M Peterson 803 Providence Rd Suite 102 Wayne NE 68787-1623 Ph: (402) 833-1410 |
| NPI Number | 1649653718 |
|---|---|
| Provider Enumeration Date | 07/07/2015 |
| Last Update Date | 07/06/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649653718 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 10560 (Nebraska) | Primary |
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