DR. Polly Wietzke Peterson PH.D.

  • NPI 1902929698
According to our database, the NPI number for DR. Polly Wietzke Peterson PH.D. is 1902929698 and activated since 17 years ago. DR. Polly Wietzke Peterson PH.D. is an individual provider who specializes in School, and the primary practice location is 1543 Kingsley Ave Ste 14, Orange Park, FL 32073. You can also contact DR. Polly Wietzke Peterson PH.D. via telephone number is (904) 742-8164. Provider NPI information was last updated on 03/12/2021.

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Overview of DR. Polly Wietzke Peterson PH.D.

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 04/09/2007
  • Last updated: 03/12/2021

Primary Scrop of Practice

  • Taxonomy Code: 103TS0200X
  • Specialty: School
  • License Number: SS495
  • License State: FL

Provider Mailing Address

  • Address: 2465 Us Highway 1 S Unit 154
    St Augustine, FL 32086
  • Phone: 904-742-8235
  • Fax: 904-217-7222

Provider Practice Location

  • Address: 1543 Kingsley Ave Ste 14
    Orange Park, FL 32073
  • Phone: 904-742-8164
  • Fax: 904-217-7222

Scope of Practice

  • Taxonomy Code: 103TS0200X
  • Specialty: School
  • License Number: SS495
  • License State: FL
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: Z0537
  • Identifier Type: Other
  • Identifier State: FL
  • Issuer: BLUE CROSS BLUE SHIELD FL

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for DR. Polly Wietzke Peterson PH.D.?
  • A: The npi number for DR. Polly Wietzke Peterson PH.D. is 1902929698.
  • Q: What are DR. Polly Wietzke Peterson PH.D.'s specialties?
  • A: DR. Polly Wietzke Peterson PH.D.'s specialties are School and different specialities.
  • Q: What is the medical license for DR. Polly Wietzke Peterson PH.D.?
  • A: The medical license number for DR. Polly Wietzke Peterson PH.D. is SS495 and issued in FL in USA.
  • Q: Where is DR. Polly Wietzke Peterson PH.D. practice location?
  • A: DR. Polly Wietzke Peterson PH.D. is practicing at 1543 Kingsley Ave Ste 14, Orange Park, FL 32073.
  • Q: How to contact DR. Polly Wietzke Peterson PH.D.?
  • A: You can contact DR. Polly Wietzke Peterson PH.D. via 904-742-8164.