Peterson Stephan, Wayne
Peterson Stephan, Wayne is an individual health care provider with primary practice located at 10016 Monticello Blvd , Fort Wayne IN 46825-2193. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Peterson Stephan, Wayne can be contacted via phone (260) 388-3765.Contact Information
Primary practice address
10016 Monticello Blvd
Fort Wayne IN 46825-2193
Phone: (260) 388-3765
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 39004844A | Indiana |
Profile Details
| NPI number | 1427289610 |
|---|---|
| LBN Legal business name | Peterson Stephan, Wayne |
| Credentials | LMHC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 5th, 2009 |
| Last updated | Feb 21st, 2024 - about 2 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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