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Tyler Peterson
Clinical Psychologist in Ione, California
NPI 1558017822

Tyler Peterson is a Clinical Psychologist based in Ione, CA and is specialized in Clinical. Tyler Peterson practices in Ione, CA. The NPI Number for Tyler Peterson is 1558017822 and holds a License No. (California).

The current practice location address for Tyler Peterson is 4001 Hwy 104, Ione, CA and can be reached out via phone at 209-274-4911.

Location: 4001 Hwy 104, Ione, CA, 95640
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558017822
Provider Name
Tyler Peterson
Credential
Provider Entity Type
Individual
Gender
Male
Address
4001 Hwy 104, Ione, CA, 95640
Phone Number
209-274-4911
Fax Number
Provider Enumeration Date
02/25/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4001 Hwy 104
City
Ione
State
California
Zip
95640
Phone Number
209-274-4911
Fax Number
person
Provider Business Mailing Address Details
Address
4001 Hwy 104
City
Ione
State
California
Zip
95640
Phone Number
209-274-4911
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
PSY33794 (California)
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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