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Individual

BRIDGETTE J PETEET

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
11130 ANDERSON ST, LOMA LINDA, CA 92350-1729
(909) 558-8717
Mailing address
11130 ANDERSON ST, LOMA LINDA, CA 92350-1729
(909) 558-8717

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
31726
CA
103TC0700X
Clinical Psychologist
Primary
6300
OH

Other

Enumeration date
05/05/2011
Last updated
05/06/2020
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