NPI 1124160262 MR. WAYNE DOUGLAS PETERSON LPC RICHFIELD UT. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Mr. Wayne Douglas Peterson - NPI: 1124160262

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: MR. WAYNE DOUGLAS PETERSON
NPI Number: 1124160262
Entity Type Code: Individual (1)
Gender: M
Credentials: LPC
License Number: 3690346004
Business Practice Address: 164 N Main St
(rear) Richfield, UT - 847012170
Business Phone Number: 4352014481
Business Fax Number:
Mailing Address: Po Box 662,
RICHFIELD
State: UT
Postal Code: 847010662
Phone Number: 4352014481
Fax Number:
NPI Enumeration Date: 02/13/2007
NPI Last Update Date: 07/08/2007
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 101YP2500X
License Number: 3690346004
Healthcare Provider Taxonomy:
(Secondary)
Y
State: UT
Taxonomy Type: Behavioral Health & Social Service Providers
Taxonomy Classification: Counselor
Taxonomy Specialization: Professional
Taxonomy Definition:


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