PATRICIA MARY PETERSON NPI 1821166653

NPI Information

NPI: 1821166653
Provider Name: PATRICIA MARY PETERSON
Classification: Psychologist - 103TB0200X
Entity Type: Individual

Specialization: Cognitive & Behavioral

Address:
1500 MCANDREWS RD W
SUITE 224
BURNSVILLE, MN
ZIP 55337
Phone: (612) 325-4018
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Patricia Mary Peterson is a cognitive and behavioral psychologist in Burnsville, MN. The provider is a psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking. Patricia Mary Peterson NPI is 1821166653. 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:

1500 MCANDREWS RD W
SUITE 224
BURNSVILLE, MN
ZIP 55337-432
Phone: (612) 325-4018
Fax: (952) 892-1722

The enumeration date for this NPI number is 12/1/2006 and was last updated on 7/9/2007.

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	103TB0200X	Psychologist	Cognitive & Behavioral	LP3202	MINNESOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	65D24PE	OTHER	MINNESOTA	BLUE CROSS BLUE SHIELD
2	65D25PE	OTHER	MINNESOTA	BLUE CROSS BLUE SHIELD

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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