Peta, Jayme L

Peta, Jayme L is an individual health care provider with primary practice located at 3230 Kerner Blvd , San Rafael CA 94901-4840. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Peta, Jayme L can be contacted via phone (415) 473-2611.

Contact Information

Primary practice address
3230 Kerner Blvd San Rafael CA 94901-4840
Phone: (415) 473-2611
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 29934 California

Profile Details

NPI number 1205278413
LBN Legal business name Peta, Jayme L
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2013
Last updated Mar 12th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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