Organization · Type 2 NPI
William H Pettibon PHD PA
Psychologist · Sarasota, FL
Practice location
3800 S Tamiami Trl Unit 210
Sarasota, FL 34239-6909
Fax (941) 922-7574
Mailing address
6521 Keystone Dr
Sarasota, FL 34231-7133
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist Primary | 103T00000X | PY6096 (FL) |
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 1336314707
William H Pettibon PHD PA's National Provider Identifier is 1336314707, issued on Apr 28, 2008. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Sarasota, FL. The record was last updated on Apr 28, 2008.