| Peterson Psychological Services, Inc | |
|
18 N. 8th St Miles City MT 59301 | |
| (406) 232-1595 | |
| (406) 232-1595 |
| Full Name | Peterson Psychological Services, Inc |
|---|---|
| Speciality | Psychologist |
| Location | 18 N. 8th St, Miles City, Montana |
| Authorized Official Name and Position | F Tom Peterson (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 4062321595 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peterson Psychological Services, Inc Po Box 176 Miles City MT 59301-0176 Ph: (406) 232-1595 | Peterson Psychological Services, Inc 18 N. 8th St Miles City MT 59301 Ph: (406) 232-1595 |
| NPI Number | 1679812937 |
|---|---|
| Provider Enumeration Date | 02/06/2013 |
| Last Update Date | 04/08/2019 |
| Medicare PECOS PAC ID | 3274765250 |
|---|---|
| Medicare Enrollment ID | O20140404001276 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679812937 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | 119 (Montana) | Primary |
| Provider Name | Francis T Peterson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033295712 PECOS PAC ID: 3779524509 Enrollment ID: I20050520001038 |
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