Individual
DR. CRAIG STUART PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY. D.
Contact information
Practice address
410 ARDEN AVE, SUITE 201, GLENDALE, CA 91203-4006
(818) 475-5504
(818) 244-0960
Mailing address
410 ARDEN AVE, SUITE 201, GLENDALE, CA 91203-4006
(818) 475-5504
(818) 244-0960
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY15861
CA
Other
Enumeration date
07/11/2006
Last updated
10/31/2010
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