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General NPI Number Information
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NPI Number | 1932437647
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Entity Type | Organization
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Legal Business Name | MONIKA PETERSON, PH.D., LLC
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Dates
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Enumeration Date | 11/19/2009
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Last Update Date | 11/24/2025
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Provider Practice Location Address
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Address Line | 3336 E CHANDLER HEIGHTS RD, SUITE 123
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City | GILBERT
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State | AZ
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Zip | 85298
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Country | US
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Telephone | 480-570-9034
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Fax |
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Provider Business Mailing Address
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Address Line | 3336 E CHANDLER HEIGHTS RD, SUITE 123
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City | GILBERT
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State | AZ
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Zip | 85298
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Country | US
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Telephone | 480-570-9034
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST/OWNER
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Name | MONIKA SANDBERG PETERSON
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Credential | PH.D.
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Telephone | 480-570-9034
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 0121881
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 1093
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License Number State | NM
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