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Carl V. Peterson, Ph.d., Llc
Adolescent and Children Mental Health Clinic/Center in Eugene, Oregon
NPI 1659615938

Carl V. Peterson, Ph.d., Llc is an Adolescent and Children Mental Health Clinic/Center based in Eugene, OR and is specialized in Adolescent and Children Mental Health. Carl V. Peterson, Ph.d., Llc practices in Eugene, OR. The NPI Number for Carl V. Peterson, Ph.d., Llc is 1659615938 and holds a License No. 386 (Oregon).

The current practice location address for Carl V. Peterson, Ph.d., Llc is 286 E 18Th Ave, Eugene, OR and can be reached out via phone at 541-343-5501 and via fax at 541-484-0416. You can also correspond with Carl V. Peterson, Ph.d., Llc through the mailing address at 286 E 18TH AVE, EUGENE, OR - 97401-4159 (mailing address contact number: 541-343-5501).

Location: 286 E 18Th Ave, Eugene, OR, 97401-4159
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1659615938
Provider Name
Carl V. Peterson, Ph.d., Llc
Credential
Provider Entity Type
Organization
Address
286 E 18Th Ave, Eugene, OR, 97401-4159
Phone Number
541-343-5501
Fax Number
541-484-0416
Provider Enumeration Date
11/26/2012
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
286 E 18Th Ave
City
Eugene
State
Oregon
Zip
97401-4159
Phone Number
541-343-5501
Fax Number
541-484-0416
person
Provider Business Mailing Address Details
Address
286 E 18Th Ave
City
Eugene
State
Oregon
Zip
97401-4159
Phone Number
541-343-5501
Fax Number
541-484-0416
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
386 (Oregon)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
386 (Oregon)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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