GREGORY PETERSEN

ROANOKE, VA
NPI1275509804
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: VA  0810-002774)
Enumeration Date2006-02-24
Last Update Date2007-07-08
Business Address
-- GREGORY PETERSEN PhD
2017 JEFFERSON ST SW
ROANOKE, VA 24014-2419
Phone number: 540-981-7097
Mailing Address
-- GREGORY PETERSEN PhD
411 WASHINGTON AVE SW
ROANOKE, VA 24016-4217
Phone number:
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