Joseph Scott Petrilak in Media - Clinical
Joseph Scott Petrilak - NPI 1902860927
Joseph Scott Petrilak is a Clinical in Media, Pennsylvania. Joseph Scott Petrilak practices all healthcare services and medical treatments related to Clinical. The NPI Number for Joseph Scott Petrilak is 1902860927. The last update date is 2007-07-08.
Joseph Scott Petrilak's current location address is 1223 N Providence Rd, Media, Pennsylvania. You can contact this provider via phone number 6108421461. The mailing address for Joseph Scott Petrilak is 1223 N Providence Rd, Media, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Joseph Scott Petrilak |
|---|---|
| Address | 1223 N Providence Rd, Media, Pennsylvania |
| Phone Number | 6108421461 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | MA PSYCHOL |
NPI Number Detail
| NPI Number | 1902860927 |
|---|---|
| Provider Enumeration Date | 2006-04-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1223 N Providence Rd |
|---|---|
| City | Media |
| State | Pennsylvania (PA) |
| Post Code | 190631235 |
| Phone Number | 6108421461 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PS007687L |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the Joseph Scott Petrilak's unique identification number?
The Joseph Scott Petrilak has been assigned the NPI (National Provider Identifier) Number 1902860927 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Joseph Scott Petrilak?
The Joseph Scott Petrilak is physically situated at 1223 N Providence Rd, in the city of Media, state of PA, with the postal code 190631235.
What is Joseph Scott Petrilak's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Joseph Scott Petrilak is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.
When did the Joseph Scott Petrilak receive its 1902860927?
The Joseph Scott Petrilak was issued its 1902860927 on 2006-04-14, which is the date when the organization was assigned this unique identifier.
As of what date were the Joseph Scott Petrilak's details last updated?
The information pertaining to the Joseph Scott Petrilak, including its address, specialty, and other details, was most recently updated on 2007-07-08.