Individual
DR. JEANNE PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2752 B ST UNIT 112, SAN DIEGO, CA 92102-1091
(619) 952-8076
Mailing address
2752 B ST UNIT 112, SAN DIEGO, CA 92102-1091
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY14612
CA
Other
Enumeration date
01/06/2007
Last updated
06/21/2013
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