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

Mr. James Timothy Peterson, MS, LCGC

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

Mr. James Timothy Peterson, MS, LCGC is registered under 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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