Brian D. Petrovich, Psyd, Lpc, Llc in Aurora - Clinical
Brian D. Petrovich, Psyd, Lpc, Llc - NPI 1750553533
Brian D. Petrovich, Psyd, Lpc, Llc is a Clinical in Aurora, Missouri. Brian D. Petrovich, Psyd, Lpc, Llc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Brian D. Petrovich, Psyd, Lpc, Llc is 1750553533. The last update date is 2009-10-26.
Brian D. Petrovich, Psyd, Lpc, Llc's current location address is 308 W Church St, Aurora, Missouri. You can contact this provider via phone number 4176785532 and fax number 4176786242. The mailing address for Brian D. Petrovich, Psyd, Lpc, Llc is 308 W Church St, Aurora, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Brian D. Petrovich, Psyd, Lpc, Llc |
|---|---|
| Address | 308 W Church St, Aurora, Missouri |
| Phone Number | 4176785532 |
| Fax Number | 4176786242 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEMBER |
|---|---|
| Authorized Official Name | Petrovich D Brian |
| Credentials | PSYD |
| Telephone Number | 4176785532 |
NPI Number Detail
| NPI Number | 1750553533 |
|---|---|
| Provider Enumeration Date | 2008-04-01 |
| Last Updated Date | 2009-10-26 |
Provider Mailing Address Detail
| Address | 308 W Church St |
|---|---|
| City | Aurora |
| State | Missouri (MO) |
| Post Code | 656051518 |
| Phone Number | 4176785532 |
| Fax Number | 4176786242 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
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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 unique identification code assigned to Brian D. Petrovich, Psyd, Lpc, Llc by the Centers for Medicare & Medicaid Services?
The Brian D. Petrovich, Psyd, Lpc, Llc has been issued the NPI (National Provider Identifier) 1750553533. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Brian D. Petrovich, Psyd, Lpc, Llc is geographically located?
The Brian D. Petrovich, Psyd, Lpc, Llc is physically situated at the following location: 308 W Church St, Aurora, MO, 656051518.
What is Brian D. Petrovich, Psyd, Lpc, Llc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Brian D. Petrovich, Psyd, Lpc, Llc is Clinical, and the taxonomy classification code that categorizes this area of expertise is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1750553533 to Brian D. Petrovich, Psyd, Lpc, Llc?
The Centers for Medicare & Medicaid Services originally issued the 1750553533 to Brian D. Petrovich, Psyd, Lpc, Llc on 2008-04-01.
As of what date were the Brian D. Petrovich, Psyd, Lpc, Llc's details last updated?
The information pertaining to the Brian D. Petrovich, Psyd, Lpc, Llc, including its address, specialty, and other details, was most recently updated on 2009-10-26.
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