| Doctor Name: | DR. F TOM PETERSON |
| NPI Number: | 1033295712 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | EDD LICENSE PSYCHOLO |
| License Number: | 119 |
| Business Practice Address: | 18 N 8th Street #3 Miles City, MT - 593010176 |
| Business Phone Number: | 4062321595 |
| Business Fax Number: | 4062321595 |
| Mailing Address: | Po Box 176, Peterson Psychological Services MILES CITY |
| State: | MT |
| Postal Code: | 593010176 |
| Phone Number: | 4062321595 |
| Fax Number: | 4062321595 |
| NPI Enumeration Date: | 10/27/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 119 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |