George A Peterson, Ph.D.
Psychologist in Forest Knolls, CA. Individual provider (NPI-1).
NPI number1669917399
StatusActive
Last updated in NPPESJan 4, 2017
Details
- NPI
- 1669917399
- Entity type
- Individual (NPI-1)
- Name
- George A Peterson
- Credential
- Ph.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 4, 2017
- Last updated
- Jan 4, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | PSY22173 | CA | Yes |
Practice location
Po Box P20 Sanchez Rd Ste P
Forest Knolls, CA 94933-0713
Phone 415-488-4855
Mailing address
Po Box P20 Sanchez Rd Ste P
Forest Knolls, CA 94933-0713
Phone 415-488-4855
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