National Provider Identifier
Ryan W Peterson, PSY.D.
Ryan W Peterson, PSY.D. is listed in the NPPES registry with a primary specialty of Psychologist in Bath, NY and a listed phone number of (607) 776-6577.
Profile Overview
- NPI
- 1861688608
- Provider Type
- Individual
- Primary Specialty
- Psychologist
- Enumeration Date
- September 14, 2007
- Last Updated
- July 24, 2012
Practice Location
- 115 Liberty St
- Bath, NY 14810-1508
Phone: (607) 776-6577
Specialties
- Psychologist (103T00000X)
- Mental Health Counselor (101YM0800X)
Full Record
- NPI
- 1861688608
- Entity Type
- Individual
- Last Name
- Peterson
- First Name
- Ryan
- Middle Name
- W
- Name Prefix
- Dr.
- Credential
- PSY.D.
- Mailing Street Address
- 115 Liberty St
- Mailing City
- Bath
- Mailing State
- NY
- Mailing ZIP Code
- 14810-1508
- Mailing Country
- US
- Mailing Phone
- (607) 776-6577
- Mailing Fax
- (607) 664-2161
- Practice Street Address
- 115 Liberty St
- Practice City
- Bath
- Practice State
- NY
- Practice ZIP Code
- 14810-1508
- Practice Country
- US
- Practice Phone
- (607) 776-6577
- Practice Fax
- (607) 664-2161
- Enumeration Date
- September 14, 2007
- Last Updated
- July 24, 2012
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Psychologist (103T00000X), Mental Health Counselor (101YM0800X)