Jordan Peterson

NPI 1124650171 · on the registry since 2020

Practice

Address: 9520 Padgett St
San Diego, CA 92126
Phone: (858) 866-8133
Organisation at this address: Cornerstone Caregiving West Llc
Blast Off Children'S Therapy Services, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 7

Registry record

Primary taxonomy: 2251P0200X
2251P0200X
Also registered as: 2255A2300X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2024-11-18

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