DR. Keith R Peterson, PHD
NPI #1023144573 in Irvine, California
Provider Information
- NPI Number
- 1023144573
- Entity Type
- Individual
- Name
- DR. Keith R Peterson, PHD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Psychologist - Clinical
- Credential
- PHD
- Enumeration Date
- Feb 26, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 6 VENTURE
- Address 2
- SUITE 350
- City
- Irvine
- State
- California
- ZIP Code
- 92618-3340
- Phone
- (949) 683-8789
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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