Petrusky, Shae
Petrusky, Shae is an individual health care provider with primary practice located at 1001 E Lookout Dr , Richardson TX 75082-4144. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Petrusky, Shae can be contacted via phone (972) 766-4387.Contact Information
Primary practice address
1001 E Lookout Dr
Richardson TX 75082-4144
Phone: (972) 766-4387
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 73232 | Texas |
Profile Details
| NPI number | 1114468956 |
|---|---|
| LBN Legal business name | Petrusky, Shae |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 13th, 2017 |
| Last updated | May 10th, 2023 - about 3 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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