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Dr. Polly Wietzke Peterson, PHD
School Psychologist in Orange Park, Florida
NPI 1902929698

Polly Wietzke Peterson is a School Psychologist based in St Augustine, FL and is specialized in School. Polly Wietzke Peterson practices in Orange Park, FL and has the professional credentials of PHD. The NPI Number for Polly Wietzke Peterson is 1902929698 and holds a License No. SS495 (Florida).

The current practice location address for Polly Wietzke Peterson is 1543 Kingsley Ave Ste 14, Orange Park, FL and can be reached out via phone at 904-742-8164 and via fax at 904-217-7222.

Location: 1543 Kingsley Ave Ste 14, Orange Park, FL, 32086-6076
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902929698
Provider Name
Polly Wietzke Peterson
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
1543 Kingsley Ave Ste 14, Orange Park, FL, 32086-6076
Phone Number
904-742-8164
Fax Number
904-217-7222
Provider Enumeration Date
04/09/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
Z0537 01 FL BLUE CROSS BLUE SHIELD FL
346340500 01 FL US DEPARTMENT OF LABOR
Z8341 01 FL BLUE CROSS BLUE SHIELD FL
institution
Provider Business Practice Location Address Details
Address
1543 Kingsley Ave Ste 14
City
Orange Park
State
Florida
Zip
32073-4570
Phone Number
904-742-8164
Fax Number
904-217-7222
person
Provider Business Mailing Address Details
Address
1543 Kingsley Ave Ste 14
City
Orange Park
State
Florida
Zip
32073-4570
Phone Number
904-742-8164
Fax Number
904-217-7222
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
School
Taxonomy
103TS0200X
License No.
SS495 (Florida)
Definition
A psychologist whose specialty is concerned with the science and practice of psychology with children, youth, families; learners of all ages; and the schooling process. The basic education and training of school psychologists prepares them to provide a range of psychological diagnosis, assessment, intervention, prevention, health promotion, and program development and evaluation services with a special focus on the developmental processes of children and youth within the context of schools, families and other systems. School psychologists are prepared to intervene at the individual and system level, and develop, implement, and evaluate preventive programs. In these efforts, they conduct ecologically valid assessments and intervene to promote positive learning environments within which children and youth from diverse backgrounds to ensure that all have equal access to effective educational and psychological services that promote healthy development
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