| Provider / Organization | NPI | Date Certified |
|---|---|---|
| DEVIN R PETERSEN | 1306572441 | 2023-10-06 |
Devin R Petersen is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1306572441. Registration indicates Devin R Petersen is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Psychologist (Behavioral Health & Social Service Providers, Psychologist) (Psychologist: Health, ) (Psychologist Health, Behavioral Health & Social Service Providers) (Psychologist, )
| Entity Type | Individual |
| Provider Name | Dr. Devin R Petersen PHD |
| Practice Office Address | 3517 NW SAMARITAN DR STE 100 CORVALLIS, OR US |
| Practice Office Telephone | 5417684280 |
| Mailing Address | PO BOX 1189 CORVALLIS, OR 973391189 US |
| Address | City / State | Phone / Fax |
|---|---|---|
| 3517 NW Samaritan Dr Ste 201 | Corvallis, OR 973303769 | 5417685142 |
| Direct Messaging Address [] | [email protected] |
| Code | Practice | License No State |
|---|---|---|
| 103TH0004X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Psychologist Behavioral Health & Social Service Providers Psychologist Psychologist: Health Psychologist Health Behavioral Health & Social Service Providers Psychologist |