Peterson, Edward J

Peterson, Edward J is an individual health care provider with primary practice located at 17800 Us Highway 18 , Apple Valley CA 92307-1221. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is his primary health care specialty. Peterson, Edward J can be contacted via phone (760) 946-8200.

Contact Information

Primary practice address
17800 Us Highway 18 Apple Valley CA 92307-1221
Phone: (760) 946-8200
Fax: (760) 946-8208
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 43011 California
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 87914 California

Profile Details

NPI number 1326179466
LBN Legal business name Peterson, Edward J
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2007
Last updated May 7th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1326179466 NPPES
California Other 43011 IMF

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