| Doctor Name: | SUMMER J PETERSON |
| NPI Number: | 1679939482 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 10 South Oaks Red Lodge, MT - 590680482 |
| Business Phone Number: | 4064462500 |
| Business Fax Number: | 4064462501 |
| Mailing Address: | Po Box 219, BILLINGS |
| State: | MT |
| Postal Code: | 591030219 |
| Phone Number: | 4052525658 |
| Fax Number: | 4062383617 |
| NPI Enumeration Date: | 01/08/2016 |
| NPI Last Update Date: | 01/08/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |