Individual
MR. JOSEPH SCOTT PETRILAK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MA PSYCHOLOGIST
Contact information
Practice address
1223 N PROVIDENCE RD, SUITE 3, MEDIA, PA 19063-1235
(610) 842-1461
Mailing address
1514 ATHENS RD, WILMINGTON, DE 19803-5155
(302) 478-7476
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
PS007687L
PA
103TC0700X
Clinical Psychologist
PS007687L
PA
Other
Enumeration date
04/14/2006
Last updated
09/11/2025
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