Dr. Polly Wietzke Peterson
PH.D. | School Psychologist
1543 Kingsley Ave Ste 14, Orange Park
Florida, 32073-4570
904-742-8164 904-217-7222
Maps & DirectionsDr. Polly Wietzke Peterson is a Orange Park, Florida based psychologist who is specialized in School Psychology. Active license number of Dr. Polly Wietzke Peterson is SS495 for School Psychology in Florida. Her current practice location is 1543 Kingsley Ave Ste 14, Orange Park. Patients can reach her at 904-742-8164 or can fax her at 904-217-7222. Dr. Polly Wietzke Peterson is PH.D. in School Psychology and her NPI number (Unique professional ID assigned by NPPES) is 1902929698.
Dr. Polly Wietzke Peterson apply her expertise in mental health, learning, and behavior, to help children and youth succeed academically, socially, behaviorally, and emotionally.
School psychologists are uniquely qualified members of school teams that support students' ability to learn and teachers' ability to teach. They partner with families, teachers, school administrators, and other professionals to create safe, healthy, and supportive learning environments that strengthen connections between home, school, and the community.
Complete Profile:
Dr. Polly Wietzke Peterson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Dr. Polly Wietzke Peterson |
| Specialization: | School Psychology |
| Gender: | Female |
| Credentials: | PH.D. |
| Practice Address: | 1543 Kingsley Ave Ste 14, Orange Park,
Florida, 32073-4570 |
| Phone: | 904-742-8164 |
| Fax: | 904-217-7222 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1902929698 |
| NPI Enumeration Date: | 09 Apr, 2007 |
| NPI Last Update On: | 12 Mar, 2021 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Polly Wietzke Peterson are as mentioned below.
| License Number | Specialization | State | Status | |
| SS495 | School Psychology | Florida | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Polly Wietzke Peterson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| Z0537 | Other | Florida | BLUE CROSS BLUE SHIELD FL |
| 346340500 | Other | Florida | US DEPARTMENT OF LABOR |
| Z8341 | Other | Florida | BLUE CROSS BLUE SHIELD FL |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Dr. Polly Wietzke Peterson
2465 Us Highway 1 S Unit 154,
St Augustine, Florida |
| Zip: | 32086-6076 |
| Phone Number: | 904-742-8235 |
| Fax Number: | 904-217-7222 |
Patients can reach Dr. Polly Wietzke Peterson at
1543 Kingsley Ave Ste 14, Orange Park, Florida or can
call to book an appointment on 904-742-8164.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.