| Ms Kirsten Leigh Petersen, LMFT | |
|
501 Wampanoag Trl, Riverside, RI 02915-1507 | |
| (401) 785-0040 | |
| Not Available |
| Full Name | Ms Kirsten Leigh Petersen |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 501 Wampanoag Trl, Riverside, Rhode Island |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538386503 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 46151 (California) | Secondary |
| 106H00000X | Marriage & Family Therapist | 00286 (Rhode Island) | Primary |
| Entity Name | Child And Family Psychiatry, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760863229 PECOS PAC ID: 5294173464 Enrollment ID: O20240406000126 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Kirsten Leigh Petersen, LMFT 501 Wampanoag Trl, Riverside, RI 02915-1507 Ph: () - | Ms Kirsten Leigh Petersen, LMFT 501 Wampanoag Trl, Riverside, RI 02915-1507 Ph: (401) 785-0040 |
Christie Wilson, LMFT Couples Therapy Medicare: May Accept Medicare Assignments Practice Location: 610 Wampanoag Trl, Riverside, RI 02915 Phone: 401-431-9870 Fax: 401-438-1957 | |
Mr. Joshua David Bennett, MS, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1445 Wampanoag Trl, Riverside, RI 02915 Phone: 401-301-9975 | |
Mrs. Eden Gail Chace, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1011 Veterans Memorial Pkwy, Riverside, RI 02915 Phone: 401-432-1000 Fax: 401-432-1500 |