Individual provider · Type 1 NPI
Peter S. Theodore, PhD
Psychologist · Los Angeles, CA
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
| Taxonomy | Code | License |
|---|---|---|
| Psychologist Primary | 103T00000X | PSY22511 (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.