Peterson, Donna Sue
Peterson, Donna Sue is an individual health care provider with primary practice located at 13045 Falcon Dr Suite 100, Baxter MN 56425-4201. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Peterson, Donna Sue can be contacted via phone (218) 829-9307.Contact Information
Primary practice address
13045 Falcon Dr Suite 100
Baxter MN 56425-4201
Phone: (218) 829-9307
Fax: (218) 829-7649
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | LP2983 | Minnesota |
Profile Details
| NPI number | 1346269032 |
|---|---|
| LBN Legal business name | Peterson, Donna Sue |
| Credentials | PSY.D, LP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2006 |
| Last updated | Feb 24th, 2017 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346269032 | NPPES |
| Minnesota | MEDICAID | 938055800 |
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