Timothy Pettett, SUDRC #16547

NPI 1104545490 · on the registry since 2022

Practice

Address: 298 Bernal Rd
San Jose, CA 95119
Phone: (510) 337-7950
Organisation at this address: Telecare Copration
Telecare Corporation
Atlas Psychiatry, Medical Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 71

Registry record

Primary taxonomy: Counselor
101Y00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2024-10-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California