Kathryn Petersen, MA

NPI 1487084091 · on the registry since 2013 · sole proprietor

Practice

Address: 6540 Lusk Blvd Ste C256
San Diego, CA 92121
Phone: (858) 657-9117
Organisation at this address: Eljean Llc
Wellness Way
Five Element Care
Myers Hospice Inc
Ondemand Visit, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 46

Registry record

Primary taxonomy: Behavior Analyst
103K00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2013-11-18

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