Tyler Peterson
Tyler Peterson is a Student in an Organized Health Care Education/Training Program in Ione, California. Licensed in California. Registered with an NPI since 2022.
- Licensed in
- CA
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
4001 Hwy 104Ione, CA 95640
Phone: (209) 274-4911
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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 PSY33794 (CA) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1558017822 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | February 25, 2022 |
| Last updated in NPPES | April 26, 2023 |
| Certification date | April 26, 2023 |
| Mailing address | 4001 Hwy 104, Ione, CA 95640 |
Other providers in Ione
-
Carolyn Graham
4001 Highway 104, Ione, CA 95640 · (209) 274-4911
-
Sam Kane Harary, PSYCHOLOGIST
4001 CA-104, Ione, CA 95640 · (209) 274-4911
-
Dr. Madaline Lomibao, PSYD
4001 CA-104, Ione, CA 95640 · (209) 274-4911
-
John Perdomo, PSYCHOLOGIST
4001 Ca 104 Hwy, Ione, CA 95640 · (209) 274-4911
-
Lisa Richards
10201 Blue Sky Dr, Ione, CA 95640-9303 · (916) 704-8374
-
Lane Simons
4001 State Highway 104, Ione, CA 95640 · (530) 312-2014
-
MS. Shevalier Swanson
4001 HIGHWAY104, Ione, CA 95640 · (209) 274-4911
-
Amanda N Wood
4001 Hwy 104, Ione, CA 95640 · (209) 274-4911