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Contact Information

STEVEN P PETERSON, MS, LP
MADISON EAST CENTER
SUITE 352 MANKATO CLINIC DEPARTMENT OF PSYCHIATRY
MANKATO, MN56001
 Phone: 507-387-3195
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for STEVEN P PETERSON · (Male)

NPI # 1326027244
Status Active
Credentials MS, LP
Entity Individual
Enumeration date 01/10/2006
Last updated 07/15/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • MN License # LP2984
  • MN Medicaid 714563200
  • Other 410849339 56001 C027 CHAMPUS
  • MN Other 2409705 AMERICAS PPO
  • MN Other 248L7PE BCBS
  • MN Other HP28644 HEALTH PARTNERS
  • MN Other NA2951012523 PREFERRED ONE
  • MN Other 114944 UCARE
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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