Organization
ANTONIO PETRUZZELLA, PHD, LLC
Active
Other names
Petruzzella Psychology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTONIO PETRUZZELLA PHD (OWNER)
(954) 300-2195
Entity
Organization
Contact information
Practice address
805 E BROWARD BLVD STE 301, FORT LAUDERDALE, FL 33301-2046
(954) 300-2195
Mailing address
805 E BROWARD BLVD STE 301, FORT LAUDERDALE, FL 33301-2046
(954) 300-2195
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16222832
CAQH
—
Enumeration date
12/21/2024
Last updated
09/06/2025
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