Individual
LAURA PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1080 N 7TH ST, SAN JOSE, CA 95112-4425
(610) 869-9160
Mailing address
506 RAILWAY AVE APT 321, CAMPBELL, CA 95008-3054
(267) 337-2197
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
36366
CA
Other
Enumeration date
02/08/2016
Last updated
12/10/2025
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