NPI age
19 years
Enumerated 2007-05-07
● Active
Type 1 · Individual
DR. Gary Glen Peterson, PH.D.
Peterson is 1 of 1 psychologist providers in Ketchum and 1 of 196 in Idaho.
Primary specialty
Psychologist
Plus 2 subspecialties
Licensed in
ID, CA, AZ
3 states
Status
Active
No deactivations on record
Last NPPES update
2010-08-05
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 196 active psychologist providers in Idaho.
NPI age
19 years
↑ 5 yr above median (14 yr)
State licenses
3 states
Top 86% — 13% of peers are multi-state
Subspecialties
0
30% of peers hold subspecialties
NPI lifetime · 2007 → 2026
2007-05Enumerated in NPPES
2007
2026
Where they practice
Practice location
675 Sun Valley Road, C
Ketchum, ID 83340
Mailing address
Po Box 3441
Sun Valley, ID 833533441
Specialties
-
Psychologist PrimaryA psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles,...
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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