Peterson, Linda F

Peterson, Linda F is an individual health care provider with primary practice located at 10828 Saint Charles Rock Rd , Saint Ann MO 63074-1508. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Peterson, Linda F can be contacted via phone (314) 368-2409.

Contact Information

Primary practice address
10828 Saint Charles Rock Rd Saint Ann MO 63074-1508
Fax: (314) 442-4139
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 2010009686 Missouri
Behavioral Health & Social Service Providers / School 101YS0200X 0455347 Missouri
Behavioral Health & Social Service Providers / Professional 101YP2500X 2010009686 Missouri

Profile Details

NPI number 1174848014
LBN Legal business name Peterson, Linda F
Credentials LPC., NCC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2010
Last updated Jan 26th, 2024 - about 10 months 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 1174848014 NPPES
Missouri MEDICAID 49296908

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