Organization
WILLIAM D PETOK, PHD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM DAVID PETOK PHD (PRESIDENT)
(410) 647-9166
Entity
Organization
Contact information
Practice address
479 JUMPERS HOLE RD, SUITE 304B, SEVERNA PARK, MD 21146-1600
(410) 647-9166
(410) 647-9174
Mailing address
479 JUMPERS HOLE RD, SUITE 304B, SEVERNA PARK, MD 21146-1600
(410) 647-9166
(410) 647-9174
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
01/06/2011
Last updated
01/06/2011
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