KEITH R PETERSON

IRVINE, CA
NPI1023144573
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: CA  PSY 15859)
Enumeration Date2007-02-26
Last Update Date2007-07-08
Business Address
Dr. KEITH R PETERSON PhD
6 VENTURE SUITE 350
IRVINE, CA 92618-3340
Phone number: 949-683-8789
Mailing Address
Dr. KEITH R PETERSON PhD
26741 PORTOLA PKWY SUITE 1E 432
FOOTHILL RANCH, CA 92610-1743
Phone number: 949-683-8789
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