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

Tim Peterson, PSYD

Individual provider Clinical Psychologist · NPI 1457717613

Tim Peterson, PSYD is a Clinical Psychologist in San Antonio, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2016
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

4940 Broadway Ste 330
San Antonio, TX 78209-5744
Phone: (210) 588-0298
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 37292 (TX)

Record details

NPI number1457717613
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorYes
NPI enumeratedJanuary 4, 2016
Last updated in NPPESJuly 20, 2021
Certification dateJuly 20, 2021

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