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Individual
TOM PEABODY
Active
Individual
TOM PEABODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY15343
CA
103TC0700X
Clinical Psychologist
PSY15343
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PSY153430
—
CA
Enumeration date
10/31/2006
Last updated
09/11/2025
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