DR. WILLIAM C PETERSEN


Address: 5351 Delmar Blvd, Saint Louis, MO 63112-3146
Phone: 3148770685

DR. WILLIAM C PETERSEN (NPI# 1124109400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124109400
Entity Type Individual
Full Name DR. WILLIAM C PETERSEN
Credential PH.D.
Practice Address 5351 Delmar Blvd
Saint Louis
MO 63112-3146
Mailing Address 7106 Dale Ave
Richmond Heights
MO 63117-1927
Practice Telephone 3148770685
Practice Fax Number 3148770553
Mailing Telephone 3146476303
Enumeration Date 2006-10-17
Last Update Date 2008-06-12
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC1900X Psychologist
Specialization: Counseling
01531 MO Behavioral Health & Social Service Providers

Other Providers WILLIAM PETERSEN

NPI Name Taxonomy Address Enumeration
1124207808 William Frank Petersen Pharmacist 8 Magenta Ln, East Northport, NY 11731-5116 2007-10-30
1477690105 William Loftin Petersen Optometrist 34179 Golden Lantern St, Suite 201, Dana Point, CA 92629-2800 2007-01-31
1225050891 William M Petersen Family Medicine 614 Michigan Ave, Walker, MN 56484-1390 2006-07-24
1003250887 William Patrick Petersen Jr. Orthopaedic Surgery 1635 N George Mason Dr Ste 310, Arlington, VA 22205-3616 2013-04-23
1336276948 William Marc Petersen Dentist 2532 W Francis Ave, Spokane, WA 99205-7012 2007-02-28
1801933197 William Carl Petersen Jr. Pediatrics 1204 W Main St, Charlottesville, VA 22903-2824 2007-01-30
1902912504 William L Petersen Ophthalmology 48 Main St, Massena, NY 13662-1984 2006-08-23
1881709079 William A Petersen Pediatrics 10 Century Hill Dr, Latham, NY 12110-2162 2006-08-20
1285674317 William C Petersen Anesthesiology 601 Childrens Ln, Norfolk, VA 23507-1910 2006-06-07
1770544579 William G. Petersen Internal Medicine 2401 S 31st St, Temple, TX 76508-0001 2006-03-31

Office Location

Street Address 5351 DELMAR BLVD
City SAINT LOUIS
State MO
Zip Code 63112-3146

Providers in the same location

NPI Name Taxonomy Address Enumeration
1073567491 State of Missouri Social Worker 5351 Delmar Blvd, Saint Louis, MO 63112-3146 2006-05-20
1679981302 Timothy Wilson Psychologist 5351 Delmar Blvd, Saint Louis, MO 63112-3146 2014-07-25
1093122152 Melanie Nichols Psychologist 5351 Delmar Blvd, Metropolitan St Louis Psychiatric Center, Saint Louis, MO 63112-3146 2014-07-21
1861727703 Leanne Kathleen Buttice Social Worker 5351 Delmar Blvd, Saint Louis, MO 63112-3146 2009-10-09
1760646137 Bridget Ann Graham-royer Psychologist 5351 Delmar Blvd, Saint Louis, MO 63112-3146 2008-07-15
1730365750 Tracey Ann Williams Occupational Therapist 5351 Delmar Blvd, Saint Louis, MO 63112-3146 2008-01-21
1790986115 Sundeep Jayaprabhu Psychiatry & Neurology 5351 Delmar Blvd, Saint Louis, MO 63112-3146 2007-05-31
1376752667 Karen Renee Struckhoff Pharmacist 5351 Delmar Blvd, Saint Louis, MO 63112-3146 2007-05-22
1548479249 Armon R Crawford Pharmacist 5351 Delmar Blvd, Saint Louis, MO 63112-3146 2007-05-21
1154530822 Meike Leigh Newell Pharmacist 5351 Delmar Blvd, Saint Louis, MO 63112-3146 2007-05-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851932990 Bobbie J. Harrington Technician 5626 Julian Avenue, St. Louis, MO 63112 2019-09-30
1861901480 Christina Cummings Counselor 5387 Pershing Ave., Apt. A, St. Louis, MO 63112 2017-09-26
1326457177 Clare Marie Salley Speech-Language Pathologist 5673 Waterman Blvd, Unit 31, St Louis, MO 63112 2014-08-06
1386999324 Family Love Adult Health Care Center, LLC Clinic/Center 286 Debaliviere Avenue, St. Louis, MO 63112 2012-07-16
1003133893 William Richard Humphrey II Chiropractor 5615 Pershing, Suite 22, St. Louis, MO 63112 2010-05-03
1558688408 Courtney Lynne Luster Counselor 5647 Delmar Blvd Ste 226, Saint Louis, MO 63112 2010-04-30
1134446602 Donald Trevor Cross Psychologist #7 Beverly Place, St. Louis, MO 63112 2010-04-23
1649507328 Vikram Choudhary Prosthetist 6126 Washington Blvd, # 201, St. Louis, MO 63112 2009-11-17
1992930325 Kelly Brook Hogan Social Worker 5355 Delmar, Saint Louis, MO 63112 2009-05-29
1942449194 Annie Malone Children and Family Service Center Respite Care 5355 Page Avenue, St. Louis, MO 63112 2009-02-11
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Taxonomy Information

Taxonomy Code 103TC1900X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Counseling

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063972081 Marianela Dornhecker Psychologist 3832 Mcdonald Ave, Saint Louis, MO 63116-4717 2019-03-25
1518483825 Consuelo Maturana Psychologist 7505 Pershing Ave Apt 2w, Saint Louis, MO 63130-4024 2017-08-17
1922520394 Ivorie D Chambers Psychologist 10439 Gardo Court, Saint Louis, MO 63137 2017-07-07
1194140756 Emergence Psychological Services Psychologist 1131 Thornwood Dr, Saint Louis, MO 63124-1227 2014-02-19
1952600983 Chad John Keller Psychologist 7700 Clayton Rd Ste 103, Saint Louis, MO 63117-1345 2011-03-16
1356550289 Indvidualized Therapy & Care, P.C. Psychologist 5858 White Pine Dr, Saint Louis, MO 63129-2954 2007-05-21
1942358049 Sujatha Ramesh Psychologist 7750 Clayton Rd Ste 204, Saint Louis, MO 63117-1342 2007-01-08
1417493677 Pallavi Mishra Nishith Psychologist 4130 Lindell Blvd, Saint Louis, MO 63108-2914 2017-01-12
1164971396 April Reupke Psychologist 12837 Flushing Meadows Dr, Saint Louis, MO 63131-1824 2016-09-29
1609322510 James Malen Psychologist 11960 Westline Industrial Dr, Suite 201, Saint Louis, MO 63146-3209 2016-08-30
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Competitor

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City SAINT LOUIS
Zip Code 63112

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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