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1598354128
TARA JEAN PETERSON
SAN DIEGO, CA
NPI
1598354128
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103G00000X Clinical Neuropsychologist
(Licence: CA 35302)
Enumeration Date
2021-01-18
Last Update Date
2024-09-10
Business Address
DR. TARA JEAN PETERSON PSYD
10085 CARROLL CANYON RD
SAN DIEGO, CA 92131-1138
Phone number: 858-208-3463
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Mailing Address
DR. TARA JEAN PETERSON PSYD
10 VERONA LN
FOOTHILL RANCH, CA 92610-1913
Phone number: 949-616-4809
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