Douglas Alvin Peterson in Camarillo - Clinical
Douglas Alvin Peterson - NPI 1598787764
Douglas Alvin Peterson is a Clinical in Camarillo, California. Douglas Alvin Peterson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Douglas Alvin Peterson is 1598787764. The last update date is 2014-09-05.
Douglas Alvin Peterson's current location address is Po Box 201, Camarillo, California. You can contact this provider via phone number 8053888330 and fax number 8053888030. The mailing address for Douglas Alvin Peterson is Po Box 201, Camarillo, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Douglas Alvin Peterson |
|---|---|
| Address | Po Box 201, Camarillo, California |
| Phone Number | 8053888330 |
| Fax Number | 8053888030 |
| Sole Proprietor | Y |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1598787764 |
|---|---|
| Provider Enumeration Date | 2006-07-24 |
| Last Updated Date | 2014-09-05 |
Provider Mailing Address Detail
| Address | Po Box 201 |
|---|---|
| City | Camarillo |
| State | California (CA) |
| Post Code | 930110201 |
| Phone Number | 8053888330 |
| Fax Number | 8053888030 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY17831 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the Douglas Alvin Peterson's 1598787764?
The Douglas Alvin Peterson's NPI (National Provider Identifier) Number is 1598787764. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Douglas Alvin Peterson's physical address?
The Douglas Alvin Peterson is physically located at Po Box 201, in the city of Camarillo, CA, with the postal code 930110201.
What is Douglas Alvin Peterson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Douglas Alvin Peterson is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.
When did the Douglas Alvin Peterson receive its 1598787764?
The Douglas Alvin Peterson was issued its 1598787764 on 2006-07-24, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Douglas Alvin Peterson most recently updated or revised?
The details related to Douglas Alvin Peterson, including its address, specialty, and other relevant information, were last updated or revised on 2014-09-05.