Doctor Name: | ANNA PETERSON |
NPI Number: | 1013006857 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | LC5487 |
Business Practice Address: | 12 Union St Rockland, ME - 048412739 |
Business Phone Number: | 2077014400 |
Business Fax Number: | 2077014486 |
Mailing Address: | 12 Union St, ROCKLAND |
State: | ME |
Postal Code: | 048412739 |
Phone Number: | 2077014400 |
Fax Number: | 2077014486 |
NPI Enumeration Date: | 10/12/2006 |
NPI Last Update Date: | 10/09/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | LC5487 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |