| Doctor Name: | DALE L PETERSON |
| NPI Number: | 1023234572 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHD |
| License Number: | 3774 |
| Business Practice Address: | Metro Maryland Counseling Center 16 Greenmeadow Drive, Suite G106 Timonium, MD - 21093 |
| Business Phone Number: | 4105619584 |
| Business Fax Number: | 4105619587 |
| Mailing Address: | 137 Williams St, BEL AIR |
| State: | MD |
| Postal Code: | 210143629 |
| Phone Number: | 4106886377 |
| Fax Number: | |
| NPI Enumeration Date: | 04/17/2007 |
| NPI Last Update Date: | 04/29/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 3774 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |