Lisa Jane Todd Petersen
NPI #1013422906 in Manhattan Beach, California
Provider Information
- NPI Number
- 1013422906
- Entity Type
- Individual
- Name
- Lisa Jane Todd Petersen
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Marriage & Family Therapist
- Enumeration Date
- Dec 13, 2017
- Last Updated
- Dec 13, 2017
Practice Location
- Address
- 515 N SEPULVEDA BLVD
- City
- Manhattan Beach
- State
- California
- ZIP Code
- 90266-6748
- Phone
- (310) 429-6372
Specialties & Taxonomy Codes
| Specialty |
|---|
| Marriage & Family Therapist |
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