Individual
DR. JOANNA PETRIDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
700 MULLICA HILL RD, MULLICA HILL, NJ 08062-4413
(856) 508-1000
Mailing address
700 MULLICA HILL RD, MULLICA HILL, NJ 08062-4413
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
35SI00553000
NJ
103T00000X
Psychologist
PS017752
PA
103TC0700X
Clinical Psychologist
35SI00553000
NJ
103TC0700X
Clinical Psychologist
PS017752
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0499056
—
NJ
Enumeration date
12/05/2014
Last updated
09/08/2025
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