Individual
DR. FRED J PETRILLA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1903 25TH ST, VERO BEACH, FL 32960-3366
(772) 562-0777
(772) 770-3285
Mailing address
1903 25TH ST, PO BOX 789, VERO BEACH, FL 32960-3366
(772) 562-0777
(772) 770-3285
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY0002507
FL
103TS0200X
School Psychologist
SS33
FL
Other
Enumeration date
12/27/2005
Last updated
12/08/2011
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