Provider Demographics
NPI:1548312275
Name:PETERS, DANIEL B (PHD)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:B
Last Name:PETERS
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 YGNACIO VALLEY RD., STE. 320
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94596
Mailing Address - Country:US
Mailing Address - Phone:925-939-7500
Mailing Address - Fax:925-939-7501
Practice Address - Street 1:700 YGNACIO VALLEY RD., STE. 320
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94596
Practice Address - Country:US
Practice Address - Phone:925-939-7500
Practice Address - Fax:925-939-7501
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-16
Last Update Date:2023-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA16823103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist