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Contact Information

STEPHEN PETERS, PSYD
1157 N 300 W
PROVO, UT84604-6124
 Phone: 801-357-1200
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Neurophysiology

2084N0600X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for STEPHEN PETERS · (Male)

NPI # 1093710188
Status Active
Credentials PSYD (Doctor of Psychology)
Entity Individual
Enumeration date 06/16/2005
Last updated 12/06/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • IA License # 001250
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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