Organization
JON PETERSON PSYCHOLOGIST PHD PC
Active
Other names
Jon Peterson,PhD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JON W PETERSON PH.D. (OWNER)
(949) 363-7386
Entity
Organization
Contact information
Practice address
25401 CABOT RD, SUITE 213, LAGUNA HILLS, CA 92653-5524
(949) 363-7386
(949) 276-2199
Mailing address
25401 CABOT RD, SUITE 213, LAGUNA HILLS, CA 92653-5524
(949) 363-7386
(949) 276-2199
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
PSY6987
CA
Other
Enumeration date
02/02/2009
Last updated
02/02/2009
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