Individual provider · Type 1 NPI

Polly Wietzke Peterson, PhD

School Psychologist · Orange Park, FL

NPI number 1902929698 Active

Practice location

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

Call (904) 742-8164 Map

Fax (904) 217-7222

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
School Psychologist Primary 103TS0200XSS495 (FL)

School Psychologist: A psychologist whose specialty is concerned with the science and practice of psychology with children, youth, families; learners of all ages; and the schooling process. The basic education and training of school psychologists prepares them to provide a range of psychological diagnosis, assessment, intervention, prevention, health promotion, and program development and evaluation services with a special focus on the …

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About NPI 1902929698

Polly Wietzke Peterson, PhD's National Provider Identifier is 1902929698, issued on Apr 9, 2007. The primary taxonomy on file is School Psychologist (103TS0200X), and the practice location is in Orange Park, FL. The record was last updated on Mar 12, 2021.