D
IndividualActive
Dr. Gary Glen Peterson
PH.D.
Psychologist
NPI: 1114130465Ketchum, Idaho, 83340(208) 928-6555Male
About Dr. Gary Glen Peterson
Dr. Gary Glen Peterson, PH.D., is a male healthcare professional specializing in Psychologist, registered under National Provider Identifier (NPI) number 1114130465. Their primary practice is located at 675 SUN VALLEY ROAD, Ketchum, Idaho 83340.
Patients can reach the office at (208) 928-6555. Dr. Gary Glen Peterson has been NPI-registered since 2007.
Doctor Details
Identity & Credentials
- NPI Number
- 1114130465
- Entity Type
- Individual
- First Name
- Gary
- Last Name
- Peterson
- Credential
- PH.D.
- Gender
- Male
- Sole Proprietor
- Yes
- Status
- active
Primary Practice Location
- Address
- 675 SUN VALLEY ROAD
- City
- Ketchum
- State
- Idaho
- ZIP
- 83340
- Country
- United States
- Phone
- (208) 928-6555
- Fax
- (208) 928-7666
Specialty & Taxonomy
- Primary Specialty
- Psychologist
- Classification
- Psychologist
- Taxonomy Code
- 103T00000X
NPI Registration
- Enumeration Date
- Last Updated
- Certification Date
Mailing Address
- Address
- PO BOX 3441
- City
- SUN VALLEY
- State
- ID
- ZIP
- 833533441
Medicare Enrollment
- Medicare Enrolled
- No
- Can Order/Refer
- No
- Telehealth
- No
- Excluded
- No
Frequently Asked Questions
What is Dr. Gary Glen Peterson's NPI number?
Dr. Gary Glen Peterson's National Provider Identifier (NPI) is 1114130465. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Dr. Gary Glen Peterson specialize in?
Dr. Gary Glen Peterson specializes in Psychologist.
Where is Dr. Gary Glen Peterson located?
Dr. Gary Glen Peterson practices at 675 SUN VALLEY ROAD, Ketchum, Idaho 83340. You can reach them by phone at (208) 928-6555.
Does Dr. Gary Glen Peterson accept Medicare?
Based on available data, Dr. Gary Glen Peterson is not currently enrolled in the Medicare program.
Does Dr. Gary Glen Peterson offer telehealth or virtual visits?
Dr. Gary Glen Peterson does not currently offer telehealth services. In-person visits are required at their practice location.
What is an NPI Number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Dr. Gary Glen Peterson is 1114130465.