Individual provider · Type 1 NPI

Carol Brooke Peterson, PhD

Clinical Psychologist · Minneapolis, MN

NPI number 1144237579 Active

Practice location

2450 Riverside Ave, 2A West
Minneapolis, MN 55454-1450

Fax (612) 273-8787

Mailing address

5775 Wayzata Blvd Ste 255
St. Louis Park, MN 55416-1275

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700XLP3201 (MN)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1144237579

Carol Brooke Peterson, PhD's National Provider Identifier is 1144237579, issued on Aug 1, 2006. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Minneapolis, MN. The record was last updated on May 25, 2017.