Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. PETER S THEODORE, PHD

Active Sole Proprietor

DR. PETER S THEODORE, PHD is a Psychologist healthcare provider located in LOS ANGELES, California. NPI 1487080651 is currently active in the NPPES registry. Verify at CMS.

Psychologist · LOS ANGELES, CA

Registration Details

NPI Number: 1487080651
Provider Type: Individual
Gender: Male
NPI Issued: Sep 19, 2013 (13.104557598752 yrs)
Last Updated: Sep 19, 2013
License: PSY22511 (CA)
Sole Proprietor: Yes

Practice Information

Address: 116 N ROBERTSON BLVD

805

LOS ANGELES, CA, 900483103
Browse CA providers · Browse ZIP 90048
Phone: 6262703351
Fax: 6262840550
Primary Specialty: Psychologist
103T00000X

Other Psychologist Providers in LOS ANGELES, CA

Name	Credential	NPI
DR. JOAN MARIE CALANDRA	PHD	1730173865
SHARON DOTEMOTO	PH.D.	1841281946
DR. ENRIQUE LOPEZ	PSY.D.	1497737738
DR. STEPHANIE R BARON	PH.D.	1730162157
DR. JOHANNA SCHOR	ED.D.	1164405916
MS. RENEE R SPERLING	MSW LCSW BCD	1568441053

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.