Individual provider · Type 1 NPI

Thomas C. Petersen, PH.D. MFT

Marriage & Family Therapist · Glendora, CA

NPI number 1154420651 Active

Practice location

157 N Glendora Ave Ste 215
Glendora, CA 91741-3369

Call (626) 278-0677 Map

Fax (626) 812-5674

Mailing address

417 W Foothill Blvd # 452
Glendora, CA 91741-5301

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000XMFT 14862 (CA)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1154420651

Thomas C. Petersen, PH.D. MFT's National Provider Identifier is 1154420651, issued on Sep 21, 2006. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Glendora, CA. The record was last updated on Jul 8, 2007.