Individual
DR. LAURA JEAN PETERS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
VAPAHCS WBRC 124, 3801 MIRANDA AVENUE, PALO ALTO, CA 94304
(650) 852-3468
(650) 852-3472
Mailing address
VAPAHCS WBRC 124, 3801 MIRANDA AVENUE, PALO ALTO, CO 94304
(650) 852-3468
(650) 852-3472
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
Primary
PSY11247
CA
Other
Enumeration date
06/01/2006
Last updated
07/08/2007
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