| Jeanne Peterson, Psy.d., P.a. | |
|
2100 Ashley Oaks Cir Wesley Chapel FL 33544-6416 | |
| (813) 382-2091 | |
| (813) 907-9494 |
| Full Name | Jeanne Peterson, Psy.d., P.a. |
|---|---|
| Speciality | Psychologist |
| Location | 2100 Ashley Oaks Cir, Wesley Chapel, Florida |
| Authorized Official Name and Position | Jeanne Peterson (PRESIDENT) |
| Authorized Official Contact | 8133822091 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeanne Peterson, Psy.d., P.a. 2100 Ashley Oaks Cir Wesley Chapel FL 33544-6416 Ph: (813) 382-2091 | Jeanne Peterson, Psy.d., P.a. 2100 Ashley Oaks Cir Wesley Chapel FL 33544-6416 Ph: (813) 382-2091 |
| NPI Number | 1962756197 |
|---|---|
| Provider Enumeration Date | 11/09/2012 |
| Last Update Date | 10/23/2013 |
| Medicare PECOS PAC ID | 2860628799 |
|---|---|
| Medicare Enrollment ID | O20131122000948 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962756197 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PY6060 (Florida) | Primary |
| Provider Name | Jeanne E Peterson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811284367 PECOS PAC ID: 8426209354 Enrollment ID: I20121127000125 |
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