Dr. Timothy Petrey, LISW
Social Worker, Clinical in North Ridgeville, OH. Individual provider (NPI-1).
NPI number1679596290
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1679596290
- Entity type
- Individual (NPI-1)
- Name
- Dr. Timothy Petrey
- Credential
- LISW
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 25, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | I-0004112 | OH | Yes |
Practice location
35888 Center Ridge RdSuite 5
North Ridgeville, OH 44039-3086
Phone 440-327-1800 · Fax 440-327-1533
Mailing address
35888 Center Ridge RdSuite 5
North Ridgeville, OH 44039-3086
Phone 440-327-1800 · Fax 440-327-1533
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