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Peterson Psychological Services, LLC

Psychologist, Clinical in Columbia, SC. Organization (NPI-2).

NPI number1982107959
StatusActive
Last updated in NPPESMar 15, 2018

Details

NPI
1982107959
Entity type
Organization (NPI-2)
Legal business name
Peterson Psychological Services, LLC
Organization subpart
No
Enumeration date
Mar 15, 2018
Last updated
Mar 15, 2018

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103TC0700X Psychologist, Clinical1271SCYes

Practice location

125 Alpine Cir
Columbia, SC 29223-6385

Phone 803-779-3548

Mailing address

125 Alpine Cir
Columbia, SC 29223-6385

Authorized official

Michelle Peterson
Clinical Psychologist
8037793548

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