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1104070119
TIMOTHY ALLEN PETERSEN
ENCINO, CA
NPI
1104070119
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: CA PSY 19159)
Enumeration Date
2008-11-05
Last Update Date
2008-11-05
Business Address
Dr. TIMOTHY ALLEN PETERSEN Psy.D.
16055 VENTURA BLVD SUITE 920
ENCINO, CA 91436-2601
Phone number: 818-377-6330
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Mailing Address
Dr. TIMOTHY ALLEN PETERSEN Psy.D.
16055 VENTURA BLVD SUITE 920
ENCINO, CA 91436-2601
Phone number: 818-377-6330
Copy
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