SearchKentucky103TC0700X

Dale Peterson, PHD

NPI 1023234572 · on the registry since 2007 · sole proprietor

Practice

Address
2218 Eastview Ave
Louisville, KY 40205
Phone
(410) 688-6377

Registry record

Primary taxonomy
103TC0700X
103TC0700X
Also registered as
103TC0700X
Licence states on file
CO, KY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-04-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky