Individual provider · Type 1 NPI

Timothy Allen Petersen, PSY.D.

Psychologist · Encino, CA

NPI number 1104070119 Active

Practice location

16055 Ventura Blvd, Suite 920
Encino, CA 91436-2601

Call (818) 377-6330 Map

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000XPSY 19159 (CA)

Psychologist: 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 procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1104070119

Timothy Allen Petersen, PSY.D.'s National Provider Identifier is 1104070119, issued on Nov 5, 2008. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Encino, CA. The record was last updated on Nov 5, 2008.