Peterson, Betty Ellen

Peterson, Betty Ellen is an individual health care provider with primary practice located at 1375 55Th St , Emeryville CA 94608-2609. She recently has only one registered license in Behavioral Health & Social Service Providers / Rehabilitation, which is considered as her primary health care specialty. Peterson, Betty Ellen can be contacted via phone (510) 655-7880.

Contact Information

Primary practice address
1375 55Th St Emeryville CA 94608-2609
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Rehabilitation 103TR0400X

Profile Details

NPI number 1972004471
LBN Legal business name Peterson, Betty Ellen
Credentials Master of Education (MED)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2018
Last updated Feb 21st, 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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