Peterson, Brent C

Peterson, Brent C is an sole proprietor health care provider with primary practice located at 1101 Professional Dr Ste C , Williamsburg VA 23185-3301. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Peterson, Brent C can be contacted via phone (757) 284-4554.

Contact Information

Primary practice address
1101 Professional Dr Ste C Williamsburg VA 23185-3301
Fax: (757) 500-0134
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 0701004570 Virginia

Profile Details

NPI number 1497934400
LBN Legal business name Peterson, Brent C
Credentials PH.D, LPC, ATR,
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 25th, 2007
Last updated Oct 11th, 2021 - about 3 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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