| Janis L Peterson Phd | |
|
4411 Point Fosdick Dr Ste 307 Gig Harbor WA 98335-1703 | |
| (253) 851-3808 | |
| (253) 851-3188 |
| Full Name | Janis L Peterson Phd |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4411 Point Fosdick Dr Ste 307, Gig Harbor, Washington |
| Authorized Official Name and Position | Janis L Peterson (PRESIDENT) |
| Authorized Official Contact | 2538513808 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Janis L Peterson Phd 4411 Point Fosdick Dr Ste 307 Gig Harbor WA 98335-1703 Ph: (253) 851-3808 | Janis L Peterson Phd 4411 Point Fosdick Dr Ste 307 Gig Harbor WA 98335-1703 Ph: (253) 851-3808 |
| NPI Number | 1043979891 |
|---|---|
| Provider Enumeration Date | 12/09/2021 |
| Last Update Date | 12/09/2021 |
| Certification Date | 12/09/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043979891 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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