Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KEVIN LEON PETERSEN, PSY.D.
Active Sole ProprietorMR. KEVIN LEON PETERSEN, PSY.D. is a Psychologist healthcare provider located in COLUMBIA, South Carolina. NPI 1356676290 is currently active in the NPPES registry. Verify at CMS.
Psychologist · COLUMBIA, SC
Registration Details
- NPI Number
- 1356676290
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 9, 2009 (16.832046769454 yrs)
- Last Updated
- Oct 9, 2009
- Sole Proprietor
- Yes
Practice Information
- Address
-
6439 GARNERS FERRY ROADWJBD VA MEDICAL CENTERCOLUMBIA, SC, 29209Browse SC providers · Browse ZIP 29209
- Phone
- 8037764000
- Primary Specialty
-
Psychologist
103T00000X
Other Psychologist Providers in COLUMBIA, SC
| Name | Credential | NPI |
|---|---|---|
| DR. EDDRINA RICKIA MILLER | PHD | 1205811270 |
| DR. DANIEL E SHOULTZ | PH.D. | 1407884752 |
| APRIL RAIN BRADLEY | PH.D. | 1336179456 |
| DR. HARVEY ISAAC PAYNE JR. | PSY.D. | 1487688578 |
| DR. MARY F. MACLACHLAN | PH.D. | 1902903974 |
| SALLY KING | PH.D. | 1265531966 |
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.