Individual provider · Type 1 NPI

William David Petok, PhD

Psychologist · Severna Park, MD

NPI number 1275607764 Active

Practice location

479 Jumpers Hole Rd, Suite 304B
Severna Park, MD 21146-1600

Fax (410) 647-9174

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000X1349 (MD)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1275607764

William David Petok, PhD's National Provider Identifier is 1275607764, issued on Nov 17, 2006. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Severna Park, MD. The record was last updated on Jul 8, 2007.