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Individual
MR. JOSEPH SCOTT PETRILAK
Active
Individual
MR. JOSEPH SCOTT PETRILAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA PSYCHOLOGIST
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
PS007687L
PA
103TC0700X
Clinical Psychologist
PS007687L
PA
Other
Enumeration date
04/14/2006
Last updated
07/13/2026
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