Peterson, Joanne
Peterson, Joanne is an individual health care provider with primary practice located at 40 Baynard Cove Rd , Hilton Head Island SC 29928-4135. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Peterson, Joanne can be contacted via phone (815) 409-6606.Contact Information
Primary practice address
40 Baynard Cove Rd
Hilton Head Island SC 29928-4135
Phone: (815) 409-6606
Fax: (843) 363-9997
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 071005887 | Illinois |
Profile Details
| NPI number | 1750475430 |
|---|---|
| LBN Legal business name | Peterson, Joanne |
| Credentials | ED.D |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 3rd, 2006 |
| Last updated | Jan 24th, 2017 - about 7 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 | 1750475430 | NPPES |
| Illinois | Other | 219043 | MAGELLAN |
| Illinois | Other | 0991516762 | MAGELLAN |
| Illinois | Other | 274154 | MAGELLAN |
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