Whalio Doctors

NPI 1548312549

Randolph Scott Petersen, PHD

Practitioner Clinical Neuropsychologist Murfreesboro, TN

Practice location

Address
3400 Lebanon Rd VA Tvhs - Psychology Services (116b), Murfreesboro, TN 37129-1392
Phone
(615) 225-3933
Fax
(615) 225-6361

Registered specialties (7)

Clinical Neuropsychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence 880 (SC)
Psychologist
Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence 880 (SC)
Cognitive & Behavioral Psychologist
Behavioral Health & Social Service Providers Taxonomy 103TB0200X Licence 880 (SC)
Clinical Psychologist
Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 880 (SC)
Health Service Psychologist
Behavioral Health & Social Service Providers Taxonomy 103TH0100X Licence 880 (SC)
Group Psychotherapy Psychologist
Behavioral Health & Social Service Providers Taxonomy 103TP2701X Licence 880 (SC)
Rehabilitation Psychologist
Behavioral Health & Social Service Providers Taxonomy 103TR0400X Licence 880 (SC)

Registry record

NPI
1548312549
Entity type
Individual
Sex (as registered)
Male
NPI issued
18 Jan 2007
Record last updated
29 Apr 2016

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.