Provider Demographics
NPI:1427362607
Name:PETERSON-ARNZEN, LOUISE ANN (PSYD)
Entity Type:Individual
Prefix:DR
First Name:LOUISE
Middle Name:ANN
Last Name:PETERSON-ARNZEN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:LANI
Other - Middle Name:
Other - Last Name:PETERSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PSYD
Mailing Address - Street 1:76 HOLT RD
Mailing Address - Street 2:
Mailing Address - City:ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01810-4128
Mailing Address - Country:US
Mailing Address - Phone:978-387-5990
Mailing Address - Fax:
Practice Address - Street 1:1 ELM SQ STE 2A
Practice Address - Street 2:
Practice Address - City:ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01810-3986
Practice Address - Country:US
Practice Address - Phone:978-387-5990
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-30
Last Update Date:2013-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA6503103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist