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

Lisa Jane Todd Petersen

Individual provider Marriage & Family Therapist · NPI 1013422906

Lisa Jane Todd Petersen is a Marriage & Family Therapist in Manhattan Beach, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2017

Practice location Address checks out

515 N Sepulveda Blvd
Manhattan Beach, CA 90266-6748
Phone: (310) 429-6372
Show map & directions

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

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 103755 (CA)

Record details

NPI number1013422906
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 13, 2017
Last updated in NPPESDecember 13, 2017
Mailing address1417 Manhattan Beach Blvd, Manhattan Beach, CA 90266-6116

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