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

RANDOLPH SCOTT PETERSEN, PHD

Active

RANDOLPH SCOTT PETERSEN, PHD is a Clinical Neuropsychologist healthcare provider located in MURFREESBORO, Tennessee. NPI 1548312549 is currently active in the NPPES registry. Verify at CMS.

Clinical Neuropsychologist · MURFREESBORO, TN

Registration Details

NPI Number
1548312549
Provider Type
Individual
Gender
Male
NPI Issued
Jan 18, 2007 (19.598849377202 yrs)
Last Updated
Apr 29, 2016
Licenses
880 (SC)
880 (SC)
880 (SC)
880 (SC)
880 (SC)

Practice Information

Address
3400 LEBANON RD
VA TVHS - PSYCHOLOGY SERVICES (116B)
MURFREESBORO, TN, 371291392
Browse TN providers · Browse ZIP 37129
Phone
6152253933
Fax
6152256361
Primary Specialty
Clinical Neuropsychologist
103G00000X
Additional Specialty
Psychologist
Additional Specialty
Clinical Psychologist
Additional Specialty
Health Service Psychologist

Other Clinical Neuropsychologist Providers in MURFREESBORO, TN

Name Credential NPI
KIMBERLY C MARSHMAN PH.D. 1033139969
DR. PAUL STEPHEN FOSTER PHD 1104076199
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.