Melissa Edwards Petersen, PHD

NPI #1144860917 in Fort Worth, Texas

Provider Information

NPI Number
1144860917
Entity Type
Individual
Name
Melissa Edwards Petersen, PHD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Clinical Neuropsychologist
Credential
PHD
Enumeration Date
Jan 9, 2020
Last Updated
Oct 15, 2020

Practice Location

Address
855 MONTGOMERY ST
State
Texas
ZIP Code
76107-2553
Phone
(817) 735-2200

Specialties & Taxonomy Codes

Specialty
Clinical Neuropsychologist
Psychologist - ClinicalClinical

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