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

Mr. James S Peterson, PHDABPN

Individual provider Clinical Psychologist · NPI 1376661272

Mr. James S Peterson, PHDABPN is a Clinical Psychologist in Carbondale, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007

Practice location Address checks out

1400 W Main Ste 16
Carbondale, IL 62901
Phone: (618) 529-2227
Fax: (618) 529-2227
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X (IL)

Record details

NPI number1376661272
Entity typeIndividual (Type 1)
GenderMale
Credentials PHDABPN
Sole proprietorNo
NPI enumeratedMarch 27, 2007
Last updated in NPPESJuly 8, 2007

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