SUSAN PETERSON NPI 1255475166

NPI Information

NPI: 1255475166
Provider Name: SUSAN PETERSON
Classification: Psychologist - 103TM1800X
Entity Type: Individual

Specialization: Intellectual and Developmental Disabilities

Address:
924 OLD HARMONY RD
SUITE 201
NEWARK, DE
ZIP 19713
Phone: (302) 224-6020
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Susan Peterson is an intellectual and developmental disabilities in Newark, DE. Susan Peterson NPI is 1255475166. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

924 OLD HARMONY RD
SUITE 201
NEWARK, DE
ZIP 19713-184
Phone: (302) 224-6020
Fax: (302) 224-6017

The enumeration date for this NPI number is 2/16/2007 and was last updated on 3/20/2012.

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	103K00000X	Behavior Analyst		1-01-0655	FLORIDA	No
2	103TM1800X	Psychologist	Intellectual and Developmental Disabilities	B1-000303	DELAWARE	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: 4/28/2024

NPI Synchronization or Removal

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