Organization · Type 2 NPI

Carol B. Peterson Ph.d., L.p., LLC

Mental Health Clinic/Center (Including Community Mental Health Center) · Golden Valley, MN

NPI number 1114932522 Active

Practice location

5101 Olson Memorial Hwy, Suite 4005
Golden Valley, MN 55422-5149

Fax (763) 595-7293

Mailing address

2862 James Ave S
Minneapolis, MN 55408-1822

Specialties and licenses

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801XLP3201 (MN)

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

9 other providers at this address

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About NPI 1114932522

Carol B. Peterson Ph.d., L.p., LLC's National Provider Identifier is 1114932522, issued on Jul 31, 2006. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Golden Valley, MN. The record was last updated on Aug 22, 2020.