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

Mr. Lewis Dale Peterson

Individual provider Marriage & Family Therapist · NPI 1265723092

Mr. Lewis Dale Peterson is a Marriage & Family Therapist in San Luis Obispo, California. Licensed in California. Registered with an NPI since 2011.

Licensed in
CA
In the registry since
2011

Practice location Address checks out

2180 Johnson Ave
San Luis Obispo, CA 93401-4513
Phone: (805) 781-4286
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 64563 (CA)

Record details

NPI number1265723092
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 27, 2011
Last updated in NPPESApril 27, 2011

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