Individual
MICHAEL PETRELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2450 S VINE ST, DENVER, CO 80208
(303) 871-3626
Mailing address
12533 E CORNELL CIR, AURORA, CO 80014-3326
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY.0005141
CO
Other
Enumeration date
02/04/2015
Last updated
05/13/2025
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