Individual provider · Type 1 NPI

Destiny Peterson, PhD

Psychologist · Oak Park, MI

NPI number 1154865590 Active

Practice location

25900 Greenfield Rd Ste 100
Oak Park, MI 48237-1297

Call (248) 788-4300 Map

Mailing address

100 Michigan St NE, Mc 845
Grand Rapids, MI 49503-2560

Specialties and licenses

Taxonomy	Code	License
Psychologist Primary	103T00000X	6301016731 (MI)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1154865590

Destiny Peterson, PhD's National Provider Identifier is 1154865590, issued on Dec 5, 2016. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Oak Park, MI. The record was last updated on Jul 21, 2022.