Peterson, Charlotte L

Peterson, Charlotte L is an individual health care provider with primary practice located at 2016 S Washington St , Grand Forks ND 58201-6342. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Peterson, Charlotte L can be contacted via phone (701) 757-4200.

Contact Information

Primary practice address
2016 S Washington St Grand Forks ND 58201-6342
Phone: (701) 757-4200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-17-39667

Profile Details

NPI number 1235654617
LBN Legal business name Peterson, Charlotte L
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2017
Last updated Aug 29th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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