Doctor Name: | MRS. MARGARET PETERS |
NPI Number: | 1023499829 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC, NCC |
License Number: | PC007630 |
Business Practice Address: | 435 Chestnut St Meadville, PA - 163354404 |
Business Phone Number: | 8148070861 |
Business Fax Number: | |
Mailing Address: | 10270 Dutch Rd, WATERFORD |
State: | PA |
Postal Code: | 164412432 |
Phone Number: | 8144495371 |
Fax Number: | |
NPI Enumeration Date: | 06/17/2015 |
NPI Last Update Date: | 06/17/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | PC007630 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |