Dr. Michael William Petrasek, Psychologist
Psychologist in Brecksville, OH. Individual provider (NPI-1).
NPI number1518124635
StatusActive
Last updated in NPPESMay 16, 2008
Details
- NPI
- 1518124635
- Entity type
- Individual (NPI-1)
- Name
- Dr. Michael William Petrasek
- Credential
- Psychologist
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 16, 2008
- Last updated
- May 16, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | 3538 | OH | Yes |
| 103T00000X | Psychologist | 3101 | CO |
Practice location
7650 Chippewa RdSuite # 213
Brecksville, OH 44141-2316
Phone 440-546-0454
Mailing address
7650 Chippewa RdSuite # 213
Brecksville, OH 44141-2316
Phone 440-546-0454
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