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

Holly Petersen

Individual provider Marriage & Family Therapist · NPI 1760806103

Holly Petersen is a Marriage & Family Therapist in Long Island City, New York. Licensed in New York. Registered with an NPI since 2014.

Licensed in
NY
In the registry since
2014
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Practice location Address checks out

1143 47th Ave
Long Island City, NY 11101-5465
Phone: (631) 880-0644
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 085016 (NY)

Record details

NPI number1760806103
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 5, 2014
Last updated in NPPESFebruary 5, 2014

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