Lookup NPI Numbers from the NPI Registry
NPI Profile for LISA A PETERSON in PROVIDENCE, RI.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X | |||
Addiction (Substance Use Disorder) |
103TA0400X | 62 | Psychologist, Clinical |
| NPI Number | 1962514869 |
|
| Status | Active | |
| Credentials | LMHC LCDP LCDCS MAC | |
| Entity | Individual | |
| Enumeration date | 08/31/2006 | |
| Last updated | 06/10/2025 - About 12 months ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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LISA A PETERSON
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LISA A PETERSON, LMHC LCDP LCDCS MAC