Petersen, Sandra E
Petersen, Sandra E is an individual health care provider with primary practice located at 43613 Florida Ave Suite K, Hemet CA 92544-7202. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Petersen, Sandra E can be contacted via phone (951) 927-3585.Contact Information
Primary practice address
43613 Florida Ave Suite K
Hemet CA 92544-7202
Phone: (951) 927-3585
Fax: (951) 927-8012
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | MC 37270 | California |
Profile Details
NPI number | 1821070368 |
---|---|
LBN Legal business name | Petersen, Sandra E |
Credentials | Master of Arts (MA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 18th, 2005 |
Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1821070368 | NPPES |
California | Other | MC 37270 | MARRIAGE FAMILY THERAPY |
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