Individual
DR. JESSICA RAE PELTAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
9600 VETERANS DR, TACOMA, WA 98493-0001
(253) 583-1624
Mailing address
9600 VETERANS DR, TACOMA, WA 98493-0001
(253) 583-1624
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY 60294769
WA
Other
Enumeration date
12/10/2012
Last updated
12/10/2012
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