IndividualActive
Janette Peterson
NPI 1407433006 · School Psychologist · Leadore, ID
Provider details
- NPI number
- 1407433006
- Entity type
- Individual
- Primary specialty
- School PsychologistBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 0000641145 (TN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
27 Harvey Ln
Leadore, ID 83464-5035
Phone: (208) 303-0307
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 58
Leadore, ID 83464-0058
Registry dates
- Enumerated
- 2021-03-28
- Last updated
- 2021-03-28
- Certified
- 2021-03-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.