| J Peterson, PHD, LLC | |
|
129 East German Street, Room 210, Shepherdstown, WV 25443-1650 | |
| (304) 876-3766 | |
| (304) 876-8431 |
| Full Name | J Peterson |
|---|---|
| Gender | Female |
| Speciality | Psychologist |
| Location | 129 East German Street, Shepherdstown, West Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710043211 | NPI | - | NPPES |
| 9480075000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 741 (West Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| J Peterson, PHD, LLC Po Box 1650, Shepherdstown, WV 25443-1650 Ph: (304) 876-3766 | J Peterson, PHD, LLC 129 East German Street, Room 210, Shepherdstown, WV 25443-1650 Ph: (304) 876-3766 |
Dr. John Hudson Berkley, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 129 E German Street, Shepherdstown, WV 25443 Phone: 304-876-1765 Fax: 304-876-1766 | |
Prof. Irving Tucker, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 418 East German Street, Shepherdstown, WV 25443 Phone: 304-876-3067 | |
Dr. Randolph Robert Macdonald, ED.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1003 Sallie Ln, Shepherdstown, WV 25443 Phone: 304-725-9645 |