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John Petersen, PSY.D
NPI 1851491526 · on the registry since 2006 · sole proprietor
Practice
- Address
- 922 E Wayne St # 205
South Bend, IN 46617 - Phone
- (574) 280-8199
Additional practice sites
- 115 S Saint Peter St, South Bend, IN
Registry record
- Primary taxonomy
- Psychologist
103T00000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-12-01
- Status
- Not present in the most recent federal file
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 Indiana