Peterson, Theadora Ruth

Peterson, Theadora Ruth is an sole proprietor health care provider with primary practice located at 8 Harris St , Newburyport MA 01950-2635. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Peterson, Theadora Ruth can be contacted via phone (617) 447-4043.

Contact Information

Primary practice address
8 Harris St Newburyport MA 01950-2635
Phone: (617) 447-4043
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 22506 Massachusetts

Profile Details

NPI number 1427325265
LBN Legal business name Peterson, Theadora Ruth
Credentials LADC-1
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 22nd, 2011
Last updated May 8th, 2023 - about 3 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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