Randolph Scott Petersen in Murfreesboro - Health Service
Randolph Scott Petersen - NPI 1548312549
Randolph Scott Petersen is a Health Service in Murfreesboro, Tennessee. Randolph Scott Petersen practices all healthcare services and medical treatments related to Health Service. 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 |
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City | Murfreesboro |
State | Tennessee (TN) |
Post Code | 371291392 |
Phone Number | 6152253933 |
Fax Number | 6152256361 |
Provider's Primary Taxonomy Detail
Speciality | Health Service |
---|---|
Taxonomy | 103Th0100X |
Licence No | 880 |
Definition: A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustm |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
PS0384 | SC | -- |
Post Comment/ Review Below
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 Health Service, and the corresponding taxonomy classification code for this specialized field is 103Th0100X.
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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