Individual
MARK WILLIAM PETRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
9005 DEMERY CT, BRENTWOOD, TN 37027-3300
(615) 373-7797
Mailing address
9005 DEMERY CT, BRENTWOOD, TN 37027-3300
(615) 373-7797
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
P0000002336
TN
Other
Enumeration date
12/19/2011
Last updated
02/27/2012
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