Individual
DR. CAROLYN ANN PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3215 FORTUNE CT, AUBURN, CA 95602-9245
(530) 613-9217
(530) 889-2420
Mailing address
3215 FORTUNE CT, AUBURN, CA 95602-9245
(530) 613-9217
(530) 889-2420
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY16440
CA
Other
Enumeration date
11/28/2007
Last updated
11/28/2007
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