Search › Missouri › 103T00000X
Kathleen Petersen, PH.D
NPI 1518023803 · on the registry since 2006 · sole proprietor
Practice
- Address
- 7106 Dale Avenue
St. Louis, MO 63117 - Phone
- (314) 647-5522
- Fax
- (314) 827-0067
Registry record
- Primary taxonomy
- 103T00000X
103T00000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2010-07-12
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 Missouri