Individual
JEREMY PETTIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
11200 SW 8TH ST, AHC 1, ROOM 140, MIAMI, FL 33199-2516
(305) 348-1671
Mailing address
11200 SW 8TH ST, AHC 1, ROOM 140, MIAMI, FL 33199-2516
(305) 348-1671
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY 8980
FL
Other
Enumeration date
01/05/2015
Last updated
01/05/2015
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