KATRINA LAREA PETTERSEN LEP 4489
NPI 1104632991
Psychologist - School in San Jose, CA
About Katrina Larea Pettersen Lep 4489 NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATRINA LAREA PETTERSEN LEP 4489 (NPI 1104632991) is an individual school provider in San Jose, California, licensed in California (4489) and active in the NPI registry since December 2024.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Katrina Pettersen's NPI number?
The NPI number for Katrina Pettersen is 1104632991. It was assigned to this individual provider in the NPPES registry on December 5, 2024.
Where is Katrina Pettersen located?
Katrina Pettersen practices at 1261 Lincoln Ave Ste 104, San Jose, CA 95125. The listed phone number is (408) 439-1111.
What is Katrina Pettersen's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in School, with taxonomy code 103TS0200X.
When was this NPI record last updated?
The NPPES record for Katrina Pettersen was last updated on December 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.