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Dr. John Anthony Petersen, PSYD
Psychologist in South Bend, Indiana
NPI 1851491526

John Anthony Petersen is a Psychologist based in South Bend, IN. John Anthony Petersen practices in South Bend, IN and has the professional credentials of PSYD. The NPI Number for John Anthony Petersen is 1851491526 and holds a License No. 20041594A (Indiana).

The current practice location address for John Anthony Petersen is 922 E Wayne St # 205, South Bend, IN and can be reached out via phone at 574-280-8199. You can also correspond with John Anthony Petersen through the mailing address at 208 E ANGELA BLVD, SOUTH BEND, IN - 46617-1202 (mailing address contact number: 574-288-7919).

Location: 922 E Wayne St # 205, South Bend, IN, 46617-1202
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851491526
Provider Name
John Anthony Petersen
Credential
PSYD
Provider Entity Type
Individual
Gender
Male
Address
922 E Wayne St # 205, South Bend, IN, 46617-1202
Phone Number
574-280-8199
Fax Number
Provider Enumeration Date
09/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200347860A 05 IN
institution
Provider Business Practice Location Address Details
Address
922 E Wayne St # 205
City
South Bend
State
Indiana
Zip
46617-3024
Phone Number
574-280-8199
Fax Number
person
Provider Business Mailing Address Details
Address
208 E Angela Blvd
City
South Bend
State
Indiana
Zip
46617-1202
Phone Number
574-288-7919
Fax Number
574-280-8199
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
-
Taxonomy
103T00000X
License No.
20041594A (Indiana)
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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