Individual
MR. KEVIN LEON PETERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
6439 GARNERS FERRY ROAD, WJBD VA MEDICAL CENTER, COLUMBIA, SC 29209
(803) 776-4000
Mailing address
115 RED COAT LN, COLUMBIA, SC 29223-2827
(602) 790-5900
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
10/09/2009
Last updated
10/09/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us