National Provider Identifier
Lawrence P Peterson, PHD
Lawrence P Peterson, PHD is listed in the NPPES registry with a primary specialty of Clinical Psychologist in Pittsford, NY and a listed phone number of (585) 275-7301.
Profile Overview
- NPI
- 1497596225
- Provider Type
- Individual
- Primary Specialty
- Clinical Psychologist
- Enumeration Date
- June 05, 2024
- Last Updated
- January 27, 2025
Practice Location
- 179 Sullys Trl Ste 200
- Pittsford, NY 14534-4500
Phone: (585) 275-7301
Mailing Address
- 601 Elmwood Ave Box Psych
- Rochester, NY 14642-0001
Specialties
- Clinical Psychologist (103TC0700X)
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1497596225
- Entity Type
- Individual
- Last Name
- Peterson
- First Name
- Lawrence
- Middle Name
- P
- Credential
- PHD
- Mailing Street Address
- 601 Elmwood Ave Box Psych
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14642-0001
- Mailing Country
- US
- Mailing Phone
- (585) 275-7301
- Practice Street Address
- 179 Sullys Trl Ste 200
- Practice City
- Pittsford
- Practice State
- NY
- Practice ZIP Code
- 14534-4500
- Practice Country
- US
- Practice Phone
- (585) 275-7301
- Enumeration Date
- June 05, 2024
- Last Updated
- January 27, 2025
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- January 27, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Psychologist (103TC0700X), Student in an Organized Health Care Education/Training Program (390200000X)