Peterson, Rebecca Jane

Peterson, Rebecca Jane is an sole proprietor health care provider with primary practice located at 3309 Duke St , Alexandria VA 22314-4522. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Forensic. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Peterson, Rebecca Jane can be contacted via phone (703) 798-5748.

Contact Information

Primary practice address
3309 Duke St Alexandria VA 22314-4522
Phone: (703) 798-5748
Fax: (703) 894-3392
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 0810003663 Virginia
Behavioral Health & Social Service Providers / Psychologist 103T00000X 0810003663 Virginia
Behavioral Health & Social Service Providers / Forensic 103TF0200X 0810003663 Virginia

Profile Details

NPI number 1962424044
LBN Legal business name Peterson, Rebecca Jane
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 24th, 2006
Last updated Oct 2nd, 2013 - about 12 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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