Dr. Polly Wietzke Peterson, PHD
Dr. Polly Wietzke Peterson, PHD is a Clinical Psychologist in Orange Park, Florida. Qualified in 1973, 53 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Florida.
- Years since qualifying
- 53
- Licensed in
- FL
- In the registry since
- 2007
What do these letters mean?
- PHD — Doctor of Philosophy
- A research doctorate. In healthcare it usually sits alongside a clinical licence.
Practice location Address checks out
1543 Kingsley Ave Ste 14Orange Park, FL 32073-4570
Phone: (904) 742-8164
Fax: (904) 217-7222
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| School Psychologist (primary) | Taxonomy 103TS0200X · Licence SS495 (FL) |
|---|
Record details
| NPI number | 1902929698 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PHD |
| Sole proprietor | Yes |
| NPI enumerated | April 9, 2007 |
| Last updated in NPPES | March 12, 2021 |
| Certification date | December 24, 2020 |
Medicare enrollment
| Medicare specialty | CLINICAL PSYCHOLOGIST |
|---|---|
| Medical school | OTHER |
| Graduated | 1973 (53 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
Other providers in Orange Park
-
Mrs. Jenny Gamble, SSP
33 Knight Boxx Rd # 2, Orange Park, FL 32065-7305 · (904) 385-9310
-
Dr. Vonda Elizabeth Staten, PSYD
1050 Prairie Dunes Ct, Orange Park, FL 32065-2679 · (904) 708-7754