| Robin Peterson Psy D Llc | |
|
1035 Lincoln Rd Ste 202 Bettendorf IA 52722-4149 | |
| (563) 355-4879 | |
| Not Available |
| Full Name | Robin Peterson Psy D Llc |
|---|---|
| Speciality | Psychologist |
| Location | 1035 Lincoln Rd Ste 202, Bettendorf, Iowa |
| Authorized Official Name and Position | Robin R Peterson (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 6169200479 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Robin Peterson Psy D Llc 1035 Lincoln Rd Ste 202 Bettendorf IA 52722-4149 Ph: (563) 355-4879 | Robin Peterson Psy D Llc 1035 Lincoln Rd Ste 202 Bettendorf IA 52722-4149 Ph: (563) 355-4879 |
| NPI Number | 1053078477 |
|---|---|
| Provider Enumeration Date | 11/19/2021 |
| Last Update Date | 01/04/2022 |
| Certification Date | 01/04/2022 |
| Medicare PECOS PAC ID | 5597155168 |
|---|---|
| Medicare Enrollment ID | O20211214002159 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053078477 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Robin R Peterson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124392477 PECOS PAC ID: 6002078243 Enrollment ID: I20120503000595 |
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