| Dr Gary Glen Peterson, PHD | |
|
675 Sun Valley Road, C, Ketchum, ID 83340 | |
| (208) 928-6555 | |
| (208) 928-7666 |
| Full Name | Dr Gary Glen Peterson |
|---|---|
| Gender | Male |
| Speciality | Psychologist |
| Location | 675 Sun Valley Road, Ketchum, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114130465 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 7790 (California) | Secondary |
| 103T00000X | Psychologist | PSY 202479 (Idaho) | Primary |
| 103T00000X | Psychologist | 578 (Arizona) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gary Glen Peterson, PHD Po Box 3441, Sun Valley, ID 83353-3441 Ph: (208) 928-6555 | Dr Gary Glen Peterson, PHD 675 Sun Valley Road, C, Ketchum, ID 83340 Ph: (208) 928-6555 |
Dr. Rebecca Grace, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 200 River St East, Ketchum, ID 83340 Phone: 760-310-9085 | |
Dr. Christopher Williams Dunn, Psychologist Medicare: Not Enrolled in Medicare Practice Location: Dunn Psychological Services, 191 Sun Valley Rd, Ketchum, ID 83340 Phone: 206-251-4890 | |
Melissa A Boley, LPCP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 333 South Main St Ste 104, Ketchum, ID 83340 Phone: 208-726-7584 | |
Sally Mccollum, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 171 W. 1st St #1, Ketchum, ID 83340 Phone: 208-726-8926 Fax: 208-726-8926 | |
Dr. Joann Sorento, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 323 Lewis St., Ketchum, ID 83340 Phone: 208-726-1903 |