TIMOTHY ALLEN PETERSEN

ENCINO, CA
NPI1104070119
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103T00000X Psychologist
(Licence: CA  PSY 19159)
Enumeration Date2008-11-05
Last Update Date2008-11-05
Business Address
Dr. TIMOTHY ALLEN PETERSEN Psy.D.
16055 VENTURA BLVD SUITE 920
ENCINO, CA 91436-2601
Phone number: 818-377-6330
Mailing 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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