MEDICARE: DR. ALLISON CATHERINE PETERS PSY.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	PSY 24321	CA

General Provider Information

NPI Number	:	1104010966
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALLISON CATHERINE PETERS PSY.D.

Provider Business Mailing Address
First Line	:	4140 W 190TH ST
Second Line	:
City	:	TORRANCE
State	:	CA
Zip	:	90504-5513
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	243 N HIGHWAY 101 STE 16
Second Line	:
City	:	SOLANA BEACH
State	:	CA
Zip	:	92075-1167
Country	:	US
Telephone Number	:	310-922-7819
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/04/2007
Last Update Date	:	12/30/2025

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