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NPI Code Detail

MEDICARE: DR. DEBRA KAY PETERS PH.D.

MEDICARE: DR. DEBRA KAY PETERS PH.D.
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
1103TC0700XClinical Psychologist2137NC

General Provider Information

NPI Number : 1861410912
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DEBRA KAY PETERS PH.D.
Provider Business Mailing Address
First Line : 220 W UNION ST
Second Line :
City : MORGANTON
State : NC
Zip : 28655-3764
Country : US
Telephone Number : 828-475-6544
Fax Number : 828-475-6545
Provider Business Practice Location Address
First Line : 220 W UNION ST
Second Line :
City : MORGANTON
State : NC
Zip : 28655-3764
Country : US
Telephone Number : 828-475-6544
Fax Number : 828-475-6545
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2006
Last Update Date : 03/31/2025

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