Individual
DR. LINDA ANN PETTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1250 GREENWOOD AVE, SUITE 4, JENKINTOWN, PA 19046-2901
(215) 885-2990
(215) 885-2366
Mailing address
1250 GREENWOOD AVE, SUITE 4, JENKINTOWN, PA 19046-2901
(215) 885-2990
(215) 885-2366
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS003471L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
031066
BLUE SHIELD
PA
Enumeration date
02/02/2006
Last updated
10/26/2016
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