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Randolph Scott Petersen

Psychologist Health Service Clinical Psychologist Group Psychotherapist and 3 more

3400 Lebanon Rd Va Tvhs - Psychology Services (116b)
Murfreesboro , Tennessee 37129-1392

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Randolph Scott Petersen

Psychologist Health Service Clinical Psychologist Group Psychotherapist and 3 more

3400 Lebanon Rd Va Tvhs - Psychology Services (116b)
Murfreesboro , Tennessee 37129-1392

(615) 225-6361

Write a Review Save Call

Randolph Scott Petersen

Psychologist Health Service Clinical Psychologist Group Psychotherapist and 3 more

3400 Lebanon Rd Va Tvhs - Psychology Services (116b)
Murfreesboro , Tennessee 37129-1392

(615) 225-6361 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Clinical Psychologist
  • Psychologist
  • Cognitive & Behavioral Psychologist
  • Health Service
  • Group Psychotherapist
  • Rehabilitation Psychologist

Languages spoken

  • English

Location

3400 Lebanon Rd Va Tvhs - Psychology Services (116b) Murfreesboro , Tennessee 37129-1392

First Address

  • Randolph Scott Petersen
  • 3400 Lebanon Rd Va Tvhs - Psychology Services (116b)
  • Murfreesboro, TN
  • Zip : 37129-1392
  • Fax : (615) 225-6361
  • Phone : (615) 225-3933

Second Address

  • Randolph Scott Petersen
  • 3400 Lebanon Rd Va Tvhs - Psychology Services (116b)
  • Murfreesboro, TN
  • Zip : 37129-1392
  • Fax : (615) 225-6361
  • Phone : (615) 225-3933

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FAQs


Where did Randolph Scott Petersen attend graduate school?

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Where did Randolph Scott Petersen do his residency?

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Where did Randolph Scott Petersen do his fellowship?

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Is Randolph Scott Petersen board certified?

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What type of doctor is Randolph Scott Petersen

Clinical Psychologist

In what state does Randolph Scott Petersen practice in?

Tennessee

Where is Randolph Scott Petersen ’s practice located?

3400 Lebanon Rd Va Tvhs - Psychology Services (116b) , Murfreesboro, Tennessee, 37129-1392

What is Randolph Scott Petersen ’s gender?

Male

Is Randolph Scott Petersen a sole practitioner?

No

Is Randolph Scott Petersen accepting new patients?

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What languages does Randolph Scott Petersen speak?

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Does Randolph Scott Petersen accept insurance?

Yes, Randolph Scott Petersen accepts insurance

Does Randolph Scott Petersen offers telemedicine?

Randolph Scott Petersen has not indicated if he offers telemedicine

What is Randolph Scott Petersen ’s professional license number?

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What is Randolph Scott Petersen ’s NPI number?

1548312549

Does Randolph Scott Petersen have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 103G00000X Clinical Psychologist 880 SC
Y 103TC0700X Clinical Psychologist 880 SC
N 102L00000X Psychologist 880 SC
N 103T00000X Psychologist 880 SC
N 103TB0200X Cognitive & Behavioral Psychologist 880 SC
N 103G00000X Clinical Psychologist 880 SC
N 103TC0700X Clinical Psychologist 880 SC
N 103TH0100X Health Service 880 SC
N 103TP2701X Group Psychotherapist 880 SC
N 103TR0400X Rehabilitation Psychologist 880 SC

National Provider Identifier

NPI 1548312549
Provider Name Randolph Scott Petersen
First Address Murfreesboro, TN 37129-1392
Second Address Murfreesboro, TN 37129-1392
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 18/01/2007
Last Update Date 29/04/2016

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
PS0384 (05) SC
Q33747 (02) SC

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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