Individual
KATELYN PETROVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
211 E 7TH ST STE 620, AUSTIN, TX 78701-3218
(800) 370-3651
Mailing address
1480 BOSTON POST RD, OLD SAYBROOK, CT 06475-1750
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP126794
TX
Other
Enumeration date
10/30/2014
Last updated
12/15/2020
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