Individual provider · Type 1 NPI

Keith R. Peterson, PhD

Clinical Psychologist · Irvine, CA

NPI number 1023144573 Active

Practice location

6 Venture, Suite 350
Irvine, CA 92618-3340

Call (949) 683-8789 Map

Fax (949) 581-4484

Mailing address

26741 Portola Pkwy, Suite 1E 432
Foothill Ranch, CA 92610-1743

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700XPSY 15859 (CA)

Clinical Psychologist: 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 breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1023144573

Keith R. Peterson, PhD's National Provider Identifier is 1023144573, issued on Feb 26, 2007. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Irvine, CA. The record was last updated on Jul 8, 2007.