Organization · Type 2 NPI

Fred J Petrilla JR PHD & Associates PA

Clinical Psychologist · Vero Beach, FL

NPI number 1003190059 Active

Practice location

1903 25th St
Vero Beach, FL 32960-3366

Fax (772) 770-3285

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700XPY0002507 (FL)
School Psychologist 103TS0200XSS33 (FL)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1003190059

Fred J Petrilla JR PHD & Associates PA's National Provider Identifier is 1003190059, issued on Oct 7, 2011. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Vero Beach, FL. The record was last updated on Nov 17, 2011.