Peterson, Michael Alex

Peterson, Michael Alex is an sole proprietor health care provider with primary practice located at 1425 Leimert Blvd Suite 403, Oakland CA 94602-1865. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as his primary health care specialty. Peterson, Michael Alex can be contacted via phone (510) 531-0500.

Contact Information

Primary practice address
1425 Leimert Blvd Suite 403 Oakland CA 94602-1865
Phone: (510) 531-0500
Fax: (510) 336-0902
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 18593 California

Profile Details

NPI number 1699902759
LBN Legal business name Peterson, Michael Alex
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 16th, 2009
Last updated Jun 16th, 2009 - about 17 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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