Individual
MEGAN PETHTEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
2415 UNIVERSITY PKWY STE 219, SARASOTA, FL 34243-2809
(800) 687-1938
Mailing address
8258 ASTORIA CIR, BRADENTON, FL 34202-2778
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY12354
FL
Other
Enumeration date
08/02/2023
Last updated
08/29/2024
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