Peter Owen Whitmer, PH.D.
Individual provider Active NPI Clinical Psychologist · Princeton, MA
NPI 1083871925 · NPPES record last updated May 19, 2008
Key facts
- NPI
- 1083871925
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 2936 (MA)
- Practice address
- 10 Laurel LN
Princeton, MA 01541-1018 - Phone
- (978) 464-5019
- Fax
- (978) 464-5019
- NPI assigned
- May 19, 2008
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2936 | MA | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 2936 | MA | Yes |
Addresses
Primary practice location
10 Laurel LN
Princeton, MA 01541-1018
Mailing address
10 Laurel LN
Princeton, MA 01541-1018
Phone (978) 464-5019
Other providers in Princeton, MA
- Sarah E Shea
- Kimberley Shore
- Harry W Smith
- Town of Princeton
- Kristy Gibson Vanderbeck
- Nissa C Wrightson
- Melissa Eleanor Yazdanpanah
All providers in Princeton, MA · Clinical Psychologist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 19, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.