Most Relevant Information
Provider Data
| NPI Number: | 1003033572 |
| Provider Name: | ZOE D. PETERSON PH.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 103TC0700X |
| Specialty: | Psychologist |
| License Number: | 2007036382 |
Most Important Dates
| Enumeration Date: | 04/19/2007 |
| Last Updated: | 07/31/2013 |
Provider Practice Location
1 UNIVERSITY BLVD., COMMUNITY PSYCHOLOGICAL SERVICE
UNIVERSITY OF MISSOURI-ST. LOUIS
ST. LOUIS
MO
63131
Practice Location Phone/Fax
| Phone: | 3145165824 |
| Fax: |
Provider Mailing Location
1 UNIVERSITY BLVD
UNIVERSITY OF MISSOURI-ST. LOUIS
SAINT LOUIS
MO
631214400
Provider Mailing Phone/Fax
| Phone: | 3145167124 |
| Fax: |