Organization · Type 2 NPI

Polly W. Peterson, Ph.d.

Psychologist · Orange Park, FL

NPI number 1427702091 Active

Practice location

1543 Kingsley Ave Ste 14
Orange Park, FL 32073-4570

Call (904) 742-8235 Map

Fax (904) 217-7222

Mailing address

2465 US Highway 1 S Unit 154
St. Augustine, FL 32086-6076

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 1427702091

Polly W. Peterson, Ph.d.'s National Provider Identifier is 1427702091, issued on Feb 11, 2022. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Orange Park, FL. The record was last updated on Feb 11, 2022.