| Peterson Psychological Services, Llc | |
|
125 Alpine Cir Columbia SC 29223-6385 | |
| (803) 779-3548 | |
| Not Available |
| Full Name | Peterson Psychological Services, Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 125 Alpine Cir, Columbia, South Carolina |
| Authorized Official Name and Position | Michelle Peterson (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 8037793548 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peterson Psychological Services, Llc 125 Alpine Cir Columbia SC 29223-6385 Ph: () - | Peterson Psychological Services, Llc 125 Alpine Cir Columbia SC 29223-6385 Ph: (803) 779-3548 |
| NPI Number | 1982107959 |
|---|---|
| Provider Enumeration Date | 03/15/2018 |
| Last Update Date | 03/15/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982107959 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 1271 (South Carolina) | Primary |
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