Petersen, Angela

Petersen, Angela is an individual health care provider with primary practice located at 8950 Villa La Jolla Dr Ste B109 , La Jolla CA 92037-1704. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Petersen, Angela can be contacted via phone (808) 927-7049.

Contact Information

Primary practice address
8950 Villa La Jolla Dr Ste B109 La Jolla CA 92037-1704
Phone: (808) 927-7049
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Psychologist 103T00000X

Profile Details

NPI number 1831547496
LBN Legal business name Petersen, Angela
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2016
Last updated Apr 11th, 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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