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NPI Code Detail

MEDICARE: KATHERINE PETERSON

MEDICARE: KATHERINE PETERSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist

General Provider Information

NPI Number : 1982356333
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE PETERSON
Provider Business Mailing Address
First Line : 1571 W HOYE PL
Second Line :
City : DENVER
State : CO
Zip : 80223-2707
Country : US
Telephone Number : 952-220-8485
Fax Number :
Provider Business Practice Location Address
First Line : 8774 YATES DR STE 135
Second Line :
City : WESTMINSTER
State : CO
Zip : 80031-6966
Country : US
Telephone Number : 720-738-5201
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2022
Last Update Date : 01/26/2022

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Directions to “ KATHERINE PETERSON ” Practice Location

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