Dr. James Douglas Petrick, Ph.D.
Clinical Neuropsychologist in Pittsburgh, PA. Individual provider (NPI-1).
NPI number1730257544
StatusActive
Last updated in NPPESMay 6, 2020
Details
- NPI
- 1730257544
- Entity type
- Individual (NPI-1)
- Name
- Dr. James Douglas Petrick
- Credential
- Ph.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 1, 2006
- Certification date
- May 6, 2020
- Last updated
- May 6, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | PS007044L | PA | Yes |
Practice location
650 Washington RdSte 210
Pittsburgh, PA 15228-2702
Phone 412-561-6506 · Fax 412-561-6508
Mailing address
650 Washington RdSte 210
Pittsburgh, PA 15228-2702
Phone 304-296-8846 · Fax 412-561-6508
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