Peterson, Carol B

Peterson, Carol B is an individual health care provider with primary practice located at 7400 New La Grange Rd Ste 312, Louisville KY 40222-4870. She recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as her primary health care specialty. Peterson, Carol B can be contacted via phone (502) 394-9990.

Contact Information

Primary practice address
7400 New La Grange Rd Ste 312 Louisville KY 40222-4870
Phone: (502) 394-9990
Fax: (502) 394-9992
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X 1140 Kentucky

Profile Details

NPI number 1629056080
LBN Legal business name Peterson, Carol B
Credentials ED. D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2006
Last updated Jan 5th, 2011 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1629056080 NPPES
Kentucky Other 130215 APS
Kentucky Other 243740 APS
Kentucky Other 7830266 APS
Kentucky MEDICAID 89000129 APS
Kentucky Other 177855 APS
Kentucky Other 2144611 APS
Kentucky Other 348656 APS
Kentucky Other 273699000 APS
Kentucky Other 000000174990 APS
Kentucky Other 476947 APS

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