Search › Tennessee › 103G00000X
Randolph Petersen, PHD
NPI 1548312549 · on the registry since 2007
Practice
- Address
- 3400 Lebanon Rd
Va Tvhs - Psychology Services (116b)
Murfreesboro, TN 37129 - Phone
- (615) 225-3933
- Fax
- (615) 225-6361
- Organisation at this address
- Nashville Vamc
Nashville Vamc
Va Medical Center
Dept. Of Veterans Affairs
Department Of Veteran AffairsInferred from a shared address, not stated in the registry. - Clinicians at this address
- 398
Registry record
- Primary taxonomy
- 103G00000X
103G00000X
- Also registered as
- 103T00000X
103TB0200X
103TC0700X
103TH0100X
103TP2701X
103TR0400X - Licence states on file
- SC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-04-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee