Individual
DR. BARBARA JUDITH PETRATOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS DSW LCSW
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PR0214771
NY
104100000X
Social Worker
Primary
PRO214771
NY
1041C0700X
Clinical Social Worker
0214771
NY
Other
Enumeration date
08/23/2005
Last updated
09/24/2020
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