National Provider Identifier
Jamie Lyn Peterson
Jamie Lyn Peterson is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Buffalo, NY and a listed phone number of (716) 328-8937.
Profile Overview
- NPI
- 1457824245
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- January 04, 2019
- Last Updated
- January 04, 2019
Practice Location
- 70 Jewett Pkwy
- Buffalo, NY 14214-2322
Phone: (716) 328-8937
Mailing Address
- 4271 Roxbury Dr
- Buffalo, NY 14221-7632
Specialties
- Mental Health Counselor (101YM0800X)
Full Record
- NPI
- 1457824245
- Entity Type
- Individual
- Last Name
- Peterson
- First Name
- Jamie
- Middle Name
- Lyn
- Mailing Street Address
- 4271 Roxbury Dr
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14221-7632
- Mailing Country
- US
- Mailing Phone
- (716) 533-0136
- Practice Street Address
- 70 Jewett Pkwy
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14214-2322
- Practice Country
- US
- Practice Phone
- (716) 328-8937
- Practice Fax
- (716) 533-4301
- Enumeration Date
- January 04, 2019
- Last Updated
- January 04, 2019
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X)
- Other Identifiers
- 006613-1 (NY, University Of State Of New York Education Department)