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NPI Code Detail

MEDICARE: MARGARET PETERS MS

MEDICARE: MARGARET PETERS MS
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
1101YM0800XMental Health Counselor39003297AIN

General Provider Information

NPI Number : 1609252105
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARGARET PETERS MS
Provider Business Mailing Address
First Line : 909 E STATE BLVD
Second Line :
City : FORT WAYNE
State : IN
Zip : 46805-3404
Country : US
Telephone Number : 260-481-2700
Fax Number : 260-481-2709
Provider Business Practice Location Address
First Line : 909 E STATE BLVD
Second Line :
City : FORT WAYNE
State : IN
Zip : 46805-3404
Country : US
Telephone Number : 260-481-2700
Fax Number : 260-481-2709
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/06/2015
Last Update Date : 03/10/2026

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