Individual
DR. DELAND R PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
10535 HOSPITAL WAY, VA NCHCS, MATHER, CA 95655
(916) 366-5431
Mailing address
10535 HOSPITAL WAY, VA NCHCS, MATHER, CA 95655
(916) 366-5431
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
961
KY
103TC0700X
Clinical Psychologist
PY0469
NV
Other
Enumeration date
07/07/2006
Last updated
06/24/2009
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