Individual
DR. ANGELA PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
8950 VILLA LA JOLLA DR STE B109, LA JOLLA, CA 92037-1704
(808) 927-7049
Mailing address
8950 VILLA LA JOLLA DR STE B109, LA JOLLA, CA 92037-1704
(808) 927-7049
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/24/2016
Last updated
04/11/2018
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