POLLY WIETZKE PETERSON

ORANGE PARK, FL
NPI1902929698
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103TS0200X Psychologist, School
(Licence: FL  SS495)
Enumeration Date2007-04-09
Last Update Date2021-03-12
Business Address
Dr. POLLY WIETZKE PETERSON Ph.D.
1543 KINGSLEY AVE STE 14
ORANGE PARK, FL 32073-4570
Phone number: 904-742-8164
Mailing Address
Dr. POLLY WIETZKE PETERSON Ph.D.
2465 US HIGHWAY 1 S UNIT 154
ST AUGUSTINE, FL 32086-6076
Phone number: 904-742-8235