Petersen, Thomas

Petersen, Thomas is an sole proprietor health care provider with primary practice located at 115 S Saint Peter St , South Bend IN 46617-2912. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Petersen, Thomas can be contacted via phone (574) 287-8147.

Contact Information

Primary practice address
115 S Saint Peter St South Bend IN 46617-2912
Phone: (574) 287-8147
Fax: (574) 235-3960
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 3500 1250 A Indiana

Profile Details

NPI number 1477675973
LBN Legal business name Petersen, Thomas
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 4th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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