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Dr. Gary Glen Peterson, PHD
Psychologist in Ketchum, Idaho
NPI 1114130465

Gary Glen Peterson is a Psychologist based in Sun Valley, ID. Gary Glen Peterson practices in Ketchum, ID and has the professional credentials of PHD. The NPI Number for Gary Glen Peterson is 1114130465 and holds a License No. 7790 (Idaho).

The current practice location address for Gary Glen Peterson is 675 Sun Valley Road, Ketchum, ID and can be reached out via phone at 208-928-6555 and via fax at 208-928-7666. You can also correspond with Gary Glen Peterson through the mailing address at PO BOX 3441, SUN VALLEY, ID - 83353-3441 (mailing address contact number: 208-928-6555).

Location: 675 Sun Valley Road, Ketchum, ID, 83353-3441
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114130465
Provider Name
Gary Glen Peterson
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
675 Sun Valley Road, Ketchum, ID, 83353-3441
Phone Number
208-928-6555
Fax Number
208-928-7666
Provider Enumeration Date
05/07/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
675 Sun Valley Road
City
Ketchum
State
Idaho
Zip
83340
Phone Number
208-928-6555
Fax Number
208-928-7666
person
Provider Business Mailing Address Details
Address
675 Sun Valley Road
City
Ketchum
State
Idaho
Zip
83340
Phone Number
208-928-6555
Fax Number
208-928-7666
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
-
Taxonomy
103T00000X
License No.
7790 (California)
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
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