| Dr Mark Peterson, PSYD | |
|
8911 Lakewood Dr # 26a, Windsor, CA 95492-7856 | |
| (916) 798-7072 | |
| Not Available |
| Full Name | Dr Mark Peterson |
|---|---|
| Gender | Male |
| Speciality | Psychologist - Clinical |
| Location | 8911 Lakewood Dr # 26a, Windsor, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417600511 | NPI | - | NPPES |
| 18611570000 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSB94026068 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mark Peterson, PSYD 9033 Acorn Ridge Cir, Elk Grove, CA 95758-5413 Ph: (916) 798-7072 | Dr Mark Peterson, PSYD 8911 Lakewood Dr # 26a, Windsor, CA 95492-7856 Ph: (916) 798-7072 |
Pamela Anne Meehan Moulton, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 9748 Lakewood Dr, Windsor, CA 95492 Phone: 707-328-0026 | |
Eileen Denise Roberts, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 8911 Lakewood Dr Ste 25b, Windsor, CA 95492 Phone: 707-338-9084 Fax: 707-433-9084 |