Individual
DR. GRACE ELAINE BARBARA PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3350 LA JOLLA VILLAGE DR # 116KM, SAN DIEGO, CA 92161-2251
(858) 833-5931
Mailing address
8875 AERO DR, SAN DIEGO, CA 92123-2251
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY34164
CA
Other
Enumeration date
05/08/2023
Last updated
05/08/2023
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