KATRINA PETTERSEN, LEP 4489

Psychologist - School

Active Individual
NPI: 1104632991

Practice Address

1261 LINCOLN AVE STE 104
San Jose, CA 95125

Phone: (408) 439-1111

Specialties

Specialty Code Primary License
Psychologist - School 103TS0200X Yes 4489 (CA)

Frequently Asked Questions

NPI 1104632991 is the National Provider Identifier for KATRINA PETTERSEN, LEP 4489, a Psychologist - School provider located in San Jose, CA. This NPI was enumerated on December 5, 2024.
KATRINA PETTERSEN, LEP 4489 practices at 1261 LINCOLN AVE STE 104, San Jose, CA 95125.

Quick Facts

NPI
1104632991
Type
Individual
Enumerated
Dec 5, 2024
Last Updated
Dec 19, 2024

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