Individual provider · Type 1 NPI

Maya Alyce Petties, PSY.D.

Clinical Psychologist · Patton, CA

NPI number 1104057140 Active

Practice location

3102 E. Highland Ave, Medical Staff Office
Patton, CA 92369

Call (909) 425-7679 Map

Fax (909) 425-6635

Mailing address

3102 E. Highland Avenue, Medical Staff Office
Patton, CA 92369

Specialties and licenses

Taxonomy	Code	License
Clinical Psychologist Primary	103TC0700X	20918 (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 1104057140

Maya Alyce Petties, PSY.D.'s National Provider Identifier is 1104057140, issued on Aug 6, 2009. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Patton, CA. The record was last updated on Nov 14, 2014.