Individual
DR. LISA PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
601 UNIVERSITY AVE, SUITE #225, SACRAMENTO, CA 95825-6775
(916) 920-5276
(916) 920-5221
Mailing address
601 UNIVERSITY AVE, SUITE #225, SACRAMENTO, CA 95825-6775
(916) 920-5276
(916) 920-5221
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
18432
CA
Other
Enumeration date
02/01/2007
Last updated
07/08/2007
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