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Contact Information

JOANNE PETERSON, ED.D
40 BAYNARD COVE RD
HILTON HEAD ISLAND, SC29928-4135
 Phone: 815-409-6606
 Fax: 843-363-9997
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for JOANNE PETERSON · (Female)

NPI Number 1750475430
Status Active
Credentials ED.D
Entity Individual
Enumeration date 10/03/2006
Last updated 01/24/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 071005887
  • IL Other 0991516762 BCBS
  • IL Other 219043 MAGELLAN
  • IL Other 274154 VALUE BEHAVIORAL HEALTH
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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