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PETERSEN ENTERPRISES INC NPI 1518356484


NPI Information

NPI: 1518356484
Provider Name: PETERSEN ENTERPRISES INC

Doing Business As: INNOVATIVE NEUROFEEDBACK THERAPY

Classification: Counselor - 101Y00000X
Entity Type: Organization
Address:
4529 STOVER ST
FORT COLLINS, CO
ZIP 80525
Phone: (970) 234-1147
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PETERSEN ENTERPRISES INC is a counselor in Fort Collins, CO. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. PETERSEN ENTERPRISES INC NPI is 1518356484. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Innovative Neurofeedback Therapy.

The provider's business location address is:

4529 STOVER ST
FORT COLLINS, CO
ZIP 80525-261
Phone: (970) 234-1147

The provider's authorized official is Jennifer Petersen .
The authorized official title is President and has the following contact phone number (970) 234-1147.

The enumeration date for this NPI number is 1/15/2015 and was last updated on 1/15/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselor2179COLORADOYes

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

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