Individual
KATHERINE PETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
1347 AMADOR ST, VALLEJO, CA 94590-3349
(707) 556-8670
Mailing address
665 WALNUT AVE, VALLEJO, CA 94592-1177
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
210092493
CA
Other
Enumeration date
08/13/2025
Last updated
08/13/2025
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