MR. DAVID PETERSEN PH.D. NPI 1164633632

NPI Information

NPI: 1164633632
Provider Name: MR. DAVID PETERSEN, PH.D.
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
UNIVERSITY OF MARYLAND
1209 SHOEMAKER BUILDING
COLLEGE PARK, MD
ZIP 20742
Phone: (301) 314-9792
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MR. David Petersen, PH.D. is a mental health counselor in College Park, MD. MR. David Petersen, PH.D. NPI is 1164633632. 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:

UNIVERSITY OF MARYLAND
1209 SHOEMAKER BUILDING
COLLEGE PARK, MD
ZIP 20742-001
Phone: (301) 314-9792

The enumeration date for this NPI number is 5/25/2007 and was last updated on 7/8/2007.

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	101YM0800X	Counselor	Mental Health	03772	MARYLAND	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: 5/5/2024

NPI Synchronization or Removal

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