Peterson, Alyssa J

Peterson, Alyssa J is an sole proprietor health care provider with primary practice located at 748 Briar View Dr , Orange Park FL 32065-3557. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / School is her primary health care specialty. Peterson, Alyssa J can be contacted via phone (310) 863-9198.

Contact Information

Primary practice address
748 Briar View Dr Orange Park FL 32065-3557
Phone: (310) 863-9198
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / School 103TS0200X

Profile Details

NPI number 1528307212
LBN Legal business name Peterson, Alyssa J
Credentials ED.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 31st, 2013
Last updated Sep 18th, 2018 - about 6 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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