NPI 1144860917

Melissa Edwards Petersen, PHD

Practitioner Clinical Neuropsychologist Fort Worth, TX

Practice location

Address: 855 Montgomery St, Fort Worth, TX 76107-2553
Phone: (817) 735-2200

Registered specialties (2)

Clinical Neuropsychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence 36939 (TX)

Other Clinical Neuropsychologist providers in Texas →

Clinical Psychologist

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 36939 (TX)

Other Psychologist providers in Texas →

Registry record

NPI: 1144860917
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Jan 2020
Record last updated: 15 Oct 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.