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1295107415
OWEN PATRICK PETERSEN
LOS ANGELES, CA
NPI
1295107415
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PSY27756)
Enumeration Date
2015-10-27
Last Update Date
2022-01-27
Business Address
Dr. OWEN PATRICK PETERSEN Psy.D.
1531 PURDUE AVE
LOS ANGELES, CA 90025-3104
Phone number: 424-442-0813
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Mailing Address
Dr. OWEN PATRICK PETERSEN Psy.D.
1531 PURDUE AVE
LOS ANGELES, CA 90025-3104
Phone number: 424-442-0813
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