MR. Matthew Joel Petersen LPC, LADC

  • NPI 1154554004
According to our database, the NPI number for MR. Matthew Joel Petersen LPC, LADC is 1154554004 and activated since 14 years ago. MR. Matthew Joel Petersen LPC, LADC is an individual provider who specializes in Addiction (Substance Use Disorder), and the primary practice location is 711 Stanton L Young Blvd, Oklahoma City, OK 73104. You can also contact MR. Matthew Joel Petersen LPC, LADC via telephone number is (405) 271-8001. Provider NPI information was last updated on 04/22/2013.

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Overview of MR. Matthew Joel Petersen LPC, LADC

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 08/26/2009
  • Last updated: 04/22/2013

Primary Scrop of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: 1035
  • License State: OK

Provider Mailing Address

  • Address: 3632 Nw 65th St
    Oklahoma City, OK 73116
  • Phone: 405-365-0556
  • Fax:

Provider Practice Location

  • Address: 711 Stanton L Young Blvd
    Oklahoma City, OK 73104
  • Phone: 405-271-8001
  • Fax: 405-271-6264

Scope of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: 1035
  • License State: OK
  • Switch: No

Legacy Identifiers

  • Provider Identifier: 200379360A
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: OK
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for MR. Matthew Joel Petersen LPC, LADC?
  • A: The npi number for MR. Matthew Joel Petersen LPC, LADC is 1154554004.
  • Q: What are MR. Matthew Joel Petersen LPC, LADC's specialties?
  • A: MR. Matthew Joel Petersen LPC, LADC's specialties are Addiction (Substance Use Disorder) and different specialities.
  • Q: What is the medical license for MR. Matthew Joel Petersen LPC, LADC?
  • A: The medical license number for MR. Matthew Joel Petersen LPC, LADC is 1035 and issued in OK in USA.
  • Q: Where is MR. Matthew Joel Petersen LPC, LADC practice location?
  • A: MR. Matthew Joel Petersen LPC, LADC is practicing at 711 Stanton L Young Blvd, Oklahoma City, OK 73104.
  • Q: How to contact MR. Matthew Joel Petersen LPC, LADC?
  • A: You can contact MR. Matthew Joel Petersen LPC, LADC via 405-271-8001.
Medicare Specialty
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Addiction Medicine
Clinical Pharmacology
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