Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dale L Peterson, PHD

Individual provider Clinical Psychologist · NPI 1023234572

Dale L Peterson, PHD is a Clinical Psychologist in Louisville, Kentucky. Qualified in 1999, 27 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Colorado and Kentucky.

Years since qualifying
27
Licensed in
CO, KY
In the registry since
2007
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

2218 Eastview Ave
Louisville, KY 40205-2663
Phone: (410) 688-6377
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 298385 (KY)
Clinical Psychologist Taxonomy 103TC0700X · Licence 4759 (CO)

Record details

NPI number1023234572
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedApril 17, 2007
Last updated in NPPESApril 19, 2026
Certification dateApril 19, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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