Peterson, Robert Lee

Peterson, Robert Lee is an individual health care provider with primary practice located at 11198 Goose Creek Cir , Casper WY 82609-4276. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / School is his primary health care specialty. Peterson, Robert Lee can be contacted via phone (307) 267-7224.

Contact Information

Primary practice address
11198 Goose Creek Cir Casper WY 82609-4276
Phone: (307) 267-7224
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X CSSP-18 Wyoming
Behavioral Health & Social Service Providers / School 103TS0200X CSSP-18 Wyoming

Profile Details

NPI number 1518010636
LBN Legal business name Peterson, Robert Lee
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2007
Last updated Jan 14th, 2024 - about last year

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 1518010636 NPPES
Wyoming MEDICAID 1023346053
Wyoming MEDICAID 116545300

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