Individual
DR. MICHAEL ALEX PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1425 LEIMERT BLVD, SUITE 403, OAKLAND, CA 94602-1865
(510) 531-0500
(510) 336-0902
Mailing address
1425 LEIMERT BLVD, SUITE 403, OAKLAND, CA 94602-1865
(510) 531-0500
(510) 336-0902
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
18593
CA
Other
Enumeration date
06/16/2009
Last updated
06/16/2009
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