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Contact Information

MATTHEW PETERSON, CDCA-PEER RECOVERY
2300 WALL ST STE F
CINCINNATI, OH45212
 Phone: 513-834-7063
 Fax: 513-873-1567
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
 

Other Service Providers

175T00000X
Indicates primary specialty

NPI Profile & details for MATTHEW PETERSON · (Male)

NPI # 1821587775
Status Active
Credentials CDCA-PEER RECOVERY
Entity Individual
Enumeration date 05/07/2018
Last updated 06/06/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • OH License # CDCA.165456
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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