Organization
BRIAN D. PETROVICH, PSYD, LPC, LLC
Active
Other names
Center for Psychological Health and Well-being
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN D PETROVICH PSYD (MEMBER)
(417) 678-5532
Entity
Organization
Contact information
Practice address
308 W CHURCH ST, AURORA, MO 65605-1518
(417) 678-5532
(417) 678-6242
Mailing address
308 W CHURCH ST, AURORA, MO 65605-1518
(417) 678-5532
(417) 678-6242
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
04/01/2008
Last updated
10/26/2009
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