Individual
MS. KAREN LYNNE PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
72 MOODY CT STE 201, THOUSAND OAKS, CA 91360-7427
(805) 981-4221
Mailing address
3272 BLACK AVE, SIMI VALLEY, CA 93063-1033
(805) 582-4889
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Enumeration date
07/23/2010
Last updated
07/23/2010
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