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Contact Information

SUSAN E PETERS, SSP
1830 BROADWAY
HAMILTON, IL62341
 Phone: 866-332-3880
 Fax: 217-551-8002
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

School

103TS0200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for SUSAN E PETERS · (Female)

NPI # 1396262069
Status Active
Credentials SSP
Entity Individual
Enumeration date 08/24/2017
Last updated 02/22/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 152024
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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