Individual provider · Type 1 NPI

Katrina Larea Pettersen, LEP 4489

School Psychologist · San Jose, CA

NPI number 1104632991 Active

Practice location

1261 Lincoln Ave Ste 104
San Jose, CA 95125-3030

Call (408) 439-1111 Map

Mailing address

2893 Union Ave
San Jose, CA 95124-1435

Specialties and licenses

Taxonomy	Code	License
School Psychologist Primary	103TS0200X	4489 (CA)

School Psychologist: A psychologist whose specialty is concerned with the science and practice of psychology with children, youth, families; learners of all ages; and the schooling process. The basic education and training of school psychologists prepares them to provide a range of psychological diagnosis, assessment, intervention, prevention, health promotion, and program development and evaluation services with a special focus on the …

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About NPI 1104632991

Katrina Larea Pettersen, LEP 4489's National Provider Identifier is 1104632991, issued on Dec 5, 2024. The primary taxonomy on file is School Psychologist (103TS0200X), and the practice location is in San Jose, CA. The record was last updated on Dec 19, 2024.