NPI | 1396983128 |
---|---|
Doing Business As | JON PETERSON,PHD |
Entity Type | Organization |
Authorized Contact | JON W PETERSON Owner 949-363-7386 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X (Licence: CA PSY6987) |
Enumeration Date | 2009-02-02 |
Last Update Date | 2009-02-02 |