J. Peterson, PH.D., L.L.C

NPI 1710043211 · on the registry since 2006 · sole proprietor

Practice

Address: 129 East German Street
Room 210
Shepherdstown, WV 25443
Phone: (304) 876-3766
Fax: (304) 876-8431
Organisation at this address: J. Peterson, Ph.D., Llc
Polonchak Educational Associates
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: 103T00000X
103T00000X
Licence states on file: WV
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2008-02-27

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 West Virginia