Individual provider · Type 1 NPI
Jill M. Peterson, PSYD
Clinical Psychologist · Racine, WI
Practice location
3801 Spring St
Racine, WI 53405-1667
Fax (262) 687-4334
Mailing address
410 West Blvd
Racine, WI 53405-2147
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Psychologist Primary | 103TC0700X | 2709057 (WI) |
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 1669695136
Jill M. Peterson, PSYD's National Provider Identifier is 1669695136, issued on Apr 11, 2007. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Racine, WI. The record was last updated on Dec 9, 2008.