Petrilak, Joseph Scott

Petrilak, Joseph Scott is an individual health care provider with primary practice located at 1223 N Providence Rd Suite 3, Media PA 19063-1235. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Petrilak, Joseph Scott can be contacted via phone (610) 842-1461.

Contact Information

Primary practice address
1223 N Providence Rd Suite 3 Media PA 19063-1235
Phone: (610) 842-1461
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X PS007687L Pennsylvania
Behavioral Health & Social Service Providers / Clinical 103TC0700X PS007687L Pennsylvania

Profile Details

NPI number 1902860927
LBN Legal business name Petrilak, Joseph Scott
Credentials MA PSYCHOLOGIST
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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