MELISSA PETERSEN, PHD

Clinical Neuropsychologist

Active Individual
NPI: 1144860917

Practice Address

855 MONTGOMERY ST
Fort Worth, TX 76107

Phone: (817) 735-2200

Specialties

Specialty Code Primary License
Clinical Neuropsychologist 103G00000X Yes 36939 (TX)
Psychologist - Clinical 103TC0700X No 36939 (TX)

Frequently Asked Questions

NPI 1144860917 is the National Provider Identifier for MELISSA PETERSEN, PHD, a Clinical Neuropsychologist provider located in Fort Worth, TX. This NPI was enumerated on January 9, 2020.
MELISSA PETERSEN, PHD practices at 855 MONTGOMERY ST, Fort Worth, TX 76107.

Quick Facts

NPI
1144860917
Type
Individual
Enumerated
Jan 9, 2020
Last Updated
Oct 15, 2020

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