Individual
DR. LINDA ANN PETTI
Active
Individual
DR. LINDA ANN PETTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
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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