Petry, Sueli

Petry, Sueli is an individual health care provider with primary practice located at 671 Hoes Ln W , Piscataway NJ 08854-8021. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Petry, Sueli can be contacted via phone (732) 565-9010.

Contact Information

Primary practice address
671 Hoes Ln W Piscataway NJ 08854-8021
Phone: (732) 565-9010
Fax: (732) 565-0703
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 37FI00160800 New Jersey
Behavioral Health & Social Service Providers / Psychologist 103T00000X 35SI00447300 New Jersey

Profile Details

NPI number 1477638542
LBN Legal business name Petry, Sueli
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2006
Last updated Oct 24th, 2012 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1477638542 NPPES
New Jersey MEDICAID 4144007

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