Individual provider · Type 1 NPI

Peter S. Theodore, PhD

Psychologist · Los Angeles, CA

NPI number 1487080651 Active

Practice location

116 N Robertson Blvd, 805
Los Angeles, CA 90048-3103

Fax (626) 284-0550

Mailing address

7428 Hollywood Blvd, 202
Los Angeles, CA 90046-2800

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000XPSY22511 (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 1487080651

Peter S. Theodore, PhD's National Provider Identifier is 1487080651, issued on Sep 19, 2013. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Los Angeles, CA. The record was last updated on Sep 19, 2013.