Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Melissa Edwards Petersen, PHD

Individual provider Clinical Neuropsychologist · NPI 1144860917

Melissa Edwards Petersen, PHD is a Clinical Neuropsychologist in Fort Worth, Texas. Licensed in Texas. Registered with an NPI since 2020.

Licensed in
TX
In the registry since
2020
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

855 Montgomery St
Fort Worth, TX 76107-2553
Phone: (817) 735-2200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence 36939 (TX)
Clinical Psychologist Taxonomy 103TC0700X · Licence 36939 (TX)

Record details

NPI number1144860917
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedJanuary 9, 2020
Last updated in NPPESOctober 15, 2020
Certification dateOctober 15, 2020

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