Peterson, Douglas Allen

Peterson, Douglas Allen is an sole proprietor health care provider with primary practice located at 16935 W Bernardo Dr 238, San Diego CA 92127-1634. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Health, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Peterson, Douglas Allen can be contacted via phone (619) 223-8511.

Contact Information

Primary practice address
16935 W Bernardo Dr 238 San Diego CA 92127-1634
Phone: (619) 223-8511
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY 20082 California
Behavioral Health & Social Service Providers / Health 103TH0004X PSY 20082 California
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X PSY 20082 California

Profile Details

NPI number 1932399938
LBN Legal business name Peterson, Douglas Allen
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 26th, 2007
Last updated Oct 18th, 2007 - about 19 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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