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

Mr. Kevin Leon Petersen, PSYD

Individual provider Psychologist · NPI 1356676290

Mr. Kevin Leon Petersen, PSYD is a Psychologist in Columbia, South Carolina. Practices as a sole proprietor. Registered with an NPI since 2009.

In the registry since
2009
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

See every abbreviation used in this directory →

Practice location Address checks out

6439 Garners Ferry Road Wjbd VA Medical Ctr
Columbia, SC 29209
Phone: (803) 776-4000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X

Record details

NPI number1356676290
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorYes
NPI enumeratedOctober 9, 2009
Last updated in NPPESOctober 9, 2009

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