Individual provider · Type 1 NPI

James S. Peterson, PHD ABPN

Clinical Psychologist · Carbondale, IL

NPI number 1376661272 Active

Practice location

1400 W Main, Suite 16
Carbondale, IL 62901

Fax (618) 529-2227

Mailing address

PO Box 583
Carbondale, IL 62903

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700XNone listed

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 1376661272

James S. Peterson, PHD ABPN's National Provider Identifier is 1376661272, issued on Mar 27, 2007. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Carbondale, IL. The record was last updated on Jul 8, 2007.