Peterson, Jatia

Peterson, Jatia is an individual health care provider with primary practice located at 620 Erie Blvd W Suite 208, Syracuse NY 13204-2445. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Peterson, Jatia can be contacted via phone (315) 472-7363.

Contact Information

Primary practice address
620 Erie Blvd W Suite 208 Syracuse NY 13204-2445
Phone: (315) 472-7363
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 088378 New York

Profile Details

NPI number 1972840114
LBN Legal business name Peterson, Jatia
Credentials LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2013
Last updated Mar 16th, 2016 - about 10 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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