Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Tara Jean Peterson, PSYD

Individual provider Clinical Neuropsychologist · NPI 1598354128

Dr. Tara Jean Peterson, PSYD is a Clinical Neuropsychologist in San Diego, California. Licensed in California. Registered with an NPI since 2021.

Licensed in
CA
In the registry since
2021
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

10085 Carroll Canyon Rd
San Diego, CA 92131-1138
Phone: (858) 208-3463
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence 35302 (CA)

Record details

NPI number1598354128
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorNo
NPI enumeratedJanuary 18, 2021
Last updated in NPPESSeptember 10, 2024
Certification dateSeptember 10, 2024

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