SearchIdahoPsychologist

Gary Peterson, PH.D

NPI 1114130465 · on the registry since 2007 · sole proprietor

Practice

Address
675 Sun Valley Road
C
Ketchum, ID 83340
Phone
(208) 928-6555
Fax
(208) 928-7666

Registry record

Primary taxonomy
Psychologist
103T00000X
Also registered as
Psychologist
Psychologist
Licence states on file
CA, ID, AZ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2010-08-05

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 Idaho