ROBERT PETERSON MDIV NPI 1356097661

NPI Information

NPI: 1356097661
Provider Name: ROBERT PETERSON, MDIV
Classification: Counselor - 101YP1600X
Entity Type: Individual

Specialization: Pastoral

Address:
CHAPLAIN SERVICE 11201 BENTON ST
LOMA LINDA, CA
ZIP 92357
Phone: (909) 825-7084
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Robert Peterson, MDIV is a pastoral counselor in Loma Linda, CA. Robert Peterson, MDIV NPI is 1356097661. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

CHAPLAIN SERVICE 11201 BENTON ST
LOMA LINDA, CA
ZIP 92357-001
Phone: (909) 825-7084

The enumeration date for this NPI number is 2/24/2022 and was last updated on 2/24/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP1600X	Counselor	Pastoral			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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