Most Relevant Information
Provider Data
NPI Number: | 1003282559 |
Provider Name: | ANNE TAYLOR PETERSON LPA |
Entity Type: | Individual |
Taxonomy Code: | 103T00000X |
Specialty: | Psychologist |
License Number: | PSYPAT 00218866 |
Most Important Dates
Enumeration Date: | 08/19/2015 |
Last Updated: | 06/14/2021 |
Provider Practice Location
1011 LEHMAN AVE STE 103
BOWLING GREEN
KY
421036515
Practice Location Phone/Fax
Phone: | 2703939834 |
Fax: | 2703939835 |
Provider Mailing Location
1011 LEHMAN AVE STE 103
BOWLING GREEN
KY
421036515
Provider Mailing Phone/Fax
Phone: | 2703939834 |
Fax: | 2703939835 |