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Individual

DR. REBECCA KAREN PETERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
13949 VENTURA BLVD STE 210, SHERMAN OAKS, CA 91423-3570
(818) 907-9518
(818) 898-3382
Mailing address
13949 VENTURA BLVD STE 210, SHERMAN OAKS, CA 91423-3570
(818) 907-9518
(818) 898-3382

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
PSY21382
CA
103TC1900X
Counseling Psychologist
Primary
PSY21382
CA
106H00000X
Marriage & Family Therapist
MFT33954
CA

Other

Enumeration date
04/11/2007
Last updated
02/16/2012
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