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

Laura Petersen

Individual provider Psychologist · NPI 1063870806

Laura Petersen is a Psychologist in San Jose, California. Licensed in California. Registered with an NPI since 2016.

Licensed in
CA
In the registry since
2016

Practice location Address checks out

1080 N 7th St
San Jose, CA 95112-4425
Phone: (610) 869-9160
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 36366 (CA)

Record details

NPI number1063870806
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 8, 2016
Last updated in NPPESDecember 10, 2025
Certification dateDecember 10, 2025

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