Individual provider · Type 1 NPI

Kevin Leon Petersen, PSY.D.

Psychologist · Columbia, SC

NPI number 1356676290 Active

Practice location

6439 Garners Ferry Road, Wjbd Va Medical Center
Columbia, SC 29209

Call (803) 776-4000 Map

Mailing address

115 Red Coat Ln
Columbia, SC 29223-2827

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000XNone listed

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1356676290

Kevin Leon Petersen, PSY.D.'s National Provider Identifier is 1356676290, issued on Oct 9, 2009. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Columbia, SC. The record was last updated on Oct 9, 2009.