Organization
JEANNE M. PETERSON, PH.D., PSYCHOLOGIST, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNE PETERSON PH.D. (OWNER, CEO)
(619) 952-8076
Entity
Organization
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
(619) 952-8076
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY14612A
CA
Other
Enumeration date
10/09/2007
Last updated
06/21/2013
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