Individual
ANDREW JOHN PETKUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1520 SAN PABLO ST STE 3000, LOS ANGELES, CA 90033-5315
(323) 442-5710
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(323) 442-5710
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY-28858
CA
Other
Enumeration date
06/01/2017
Last updated
11/27/2023
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