Regina Petterson in Los Angeles - Psychologist
Regina Petterson - NPI 1417059965
Regina Petterson is a Psychologist in Los Angeles, California. Regina Petterson practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Regina Petterson is 1417059965. The last update date is 2007-07-08.
Regina Petterson's current location address is 11980 San Vicente Blvd, Los Angeles, California. You can contact this provider via phone number 3104623134. The mailing address for Regina Petterson is 11980 San Vicente Blvd, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Regina Petterson |
|---|---|
| Address | 11980 San Vicente Blvd, Los Angeles, California |
| Phone Number | 3104623134 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1417059965 |
|---|---|
| Provider Enumeration Date | 2006-09-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 11980 San Vicente Blvd |
|---|---|
| City | Los Angeles |
| State | California (CA) |
| Post Code | 900495012 |
| Phone Number | 3104623134 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | PSY18490 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 284973 | CA | MHN |
Post Comment/ Review Below
What is the Regina Petterson's unique identification number?
The Regina Petterson has been assigned the NPI (National Provider Identifier) Number 1417059965 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Regina Petterson is located?
The Regina Petterson is situated at the following address: 11980 San Vicente Blvd, Los Angeles, CA, 900495012.
What is Regina Petterson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Regina Petterson is Psychologist, and the taxonomy code that classifies this field of practice is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1417059965 to Regina Petterson?
The Centers for Medicare & Medicaid Services assigned the 1417059965 to Regina Petterson on 2006-09-05.
As of what date were the Regina Petterson's details last updated?
The information pertaining to the Regina Petterson, including its address, specialty, and other details, was most recently updated on 2007-07-08.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY