Randolph Scott Petersen in Murfreesboro - Clinical Neuropsychologist

Randolph Scott Petersen - NPI 1548312549

Randolph Scott Petersen is a Clinical Neuropsychologist in Murfreesboro, Tennessee. Randolph Scott Petersen practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Randolph Scott Petersen is 1548312549. The last update date is 2016-04-29.

Randolph Scott Petersen's current location address is 3400 Lebanon Rd, Murfreesboro, Tennessee. You can contact this provider via phone number 6152253933 and fax number 6152256361. The mailing address for Randolph Scott Petersen is 3400 Lebanon Rd, Murfreesboro, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Randolph Scott Petersen
Address 3400 Lebanon Rd, Murfreesboro, Tennessee
Phone Number 6152253933
Fax Number 6152256361
Sole Proprietor N
Credentials PHD

NPI Number Detail

NPI Number 1548312549
Provider Enumeration Date 2007-01-18
Last Updated Date 2016-04-29

Provider Mailing Address Detail

Address 3400 Lebanon Rd
City Murfreesboro
State Tennessee (TN)
Post Code 371291392
Phone Number 6152253933
Fax Number 6152256361

Provider's Primary Taxonomy Detail

Speciality Clinical Neuropsychologist
Taxonomy 103G00000X
Licence No 880
Definition:
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing th

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
PS0384 SC --

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FAQs about Randolph Scott Petersen

What is the unique identifier code issued to Randolph Scott Petersen by the Centers for Medicare & Medicaid Services?

The Randolph Scott Petersen has been assigned the NPI (National Provider Identifier) 1548312549. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Randolph Scott Petersen's physical address?

The Randolph Scott Petersen is physically located at 3400 Lebanon Rd, in the city of Murfreesboro, TN, with the postal code 371291392.

What is Randolph Scott Petersen's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Randolph Scott Petersen is Clinical Neuropsychologist, and the corresponding taxonomy classification code for this specialized field is 103G00000X.

When was the Randolph Scott Petersen's 1548312549 issued?

The Randolph Scott Petersen's 1548312549 was issued on 2007-01-18.

When was the information regarding Randolph Scott Petersen, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Randolph Scott Petersen, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2016-04-29.

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