Petersen, Daena Laureen

Petersen, Daena Laureen is an individual health care provider with primary practice located at 299 12Th St Ste A , Marina CA 93933-6003. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Petersen, Daena Laureen can be contacted via phone (831) 647-7652.

Contact Information

Primary practice address
299 12Th St Ste A Marina CA 93933-6003
Phone: (831) 647-7652
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 35387 South Carolina
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Vermont
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X A167968 California

Profile Details

NPI number 1205152717
LBN Legal business name Petersen, Daena Laureen
Credentials MD, MPH, MA
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2010
Last updated Jul 7th, 2021 - about 5 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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