Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tyler Peterson

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1558017822

Tyler Peterson is a Student in an Organized Health Care Education/Training Program in Ione, California. Licensed in California. Registered with an NPI since 2022.

Licensed in
CA
In the registry since
2022
Specialties on file
2

Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Ione, CA

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY33794 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1558017822
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 25, 2022
Last updated in NPPESApril 26, 2023
Certification dateApril 26, 2023

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