Peterson, Jeffery J
Peterson, Jeffery J is an individual health care provider with primary practice located at 11707 Club Dr Tampa Mhbs Clinic / Opc, Tampa FL 33612-5521. He recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as his primary health care specialty. Peterson, Jeffery J can be contacted via phone (813) 631-7121.Contact Information
Primary practice address
11707 Club Dr Tampa Mhbs Clinic / Opc
Tampa FL 33612-5521
Phone: (813) 631-7121
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 1307 | Alabama |
Profile Details
| NPI number | 1962491621 |
|---|---|
| LBN Legal business name | Peterson, Jeffery J |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 17th, 2005 |
| Last updated | Aug 30th, 2007 - about 17 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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