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Peter Theodore, PHD
NPI 1487080651 · on the registry since 2013 · sole proprietor
Practice
- Address
- 116 N Robertson Blvd
805
Los Angeles, CA 90048 - Phone
- (626) 270-3351
- Fax
- (626) 284-0550
- Organisation at this address
- Christine D Forest, M.D. Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 19
Registry record
- Primary taxonomy
- Psychologist
103T00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-09-19
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