Katrina Larea Pettersen, LEP4489
Katrina Larea Pettersen, LEP4489 is a School Psychologist in San Jose, California. Licensed in California. Registered with an NPI since 2024.
- Licensed in
- CA
- In the registry since
- 2024
Practice location Address checks out
1261 Lincoln Ave Ste 104San Jose, CA 95125-3030
Phone: (408) 439-1111
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Specialties & licences
| School Psychologist (primary) | Taxonomy 103TS0200X · Licence 4489 (CA) |
|---|
Record details
| NPI number | 1104632991 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LEP4489 |
| Sole proprietor | No |
| NPI enumerated | December 5, 2024 |
| Last updated in NPPES | December 19, 2024 |
| Certification date | December 19, 2024 |
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