Janette Susan Peterson, in Leadore, ID - Psychologist

Janette Susan Peterson, is a Psychologist - School based in Leadore, Idaho. Janette Susan Peterson is licensed to practice in Tennessee (license number 0000641145) and her current practice location is 27 Harvey Ln, Leadore, Idaho. She can be reached at her office (for appointments etc.) via phone at (208) 303-0307.

NPI number for Janette Susan Peterson is 1407433006 and her current mailing address is Po Box 58, Leadore, Idaho. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1407433006.

Contact Information

	Janette Susan Peterson,
	27 Harvey Ln, Leadore, ID 83464-5035
	(208) 303-0307
	Not Available

Healthcare Provider's Profile

Full Name	Janette Susan Peterson
Gender	Female
Speciality	Psychologist - School
Location	27 Harvey Ln, Leadore, Idaho
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1407433006
Provider Enumeration Date: 03/28/2021
Last Update Date: 03/28/2021

Medical Identifiers

Medical identifiers for Janette Susan Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407433006	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TS0200X	Psychologist - School	0000641145 (Tennessee)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Janette Susan Peterson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Janette Susan Peterson, Po Box 58, Leadore, ID 83464-0058 Ph: (208) 303-0307	Janette Susan Peterson, 27 Harvey Ln, Leadore, ID 83464-5035 Ph: (208) 303-0307

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Janette Susan Peterson, - Psychologist in Leadore, ID