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

Mr. James Timothy Peterson, MS, LCGC

Individual provider Genetic Counselor (M.S.) · NPI 1881167633

Mr. James Timothy Peterson, MS, LCGC is a Genetic Counselor (M.S.) in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2019.

Licensed in
PA
In the registry since
2019
What do these letters mean?
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

3615 Civic Center Blvd
Philadelphia, PA 19104-4318
Phone: (267) 426-4961
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Genetic Counselor (M.S.) (primary) Taxonomy 170300000X · Licence 000488 (PA)

Record details

NPI number1881167633
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , LCGC
Sole proprietorNo
NPI enumeratedJanuary 4, 2019
Last updated in NPPESJanuary 4, 2019

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