Individual provider · Type 1 NPI

Nicole Lynn Petrusik, B.S.

Adolescent and Children Mental Health Clinic/Center · Pittsburgh, PA

NPI number 1407114119 Active

Practice location

5231 Penn Ave
Pittsburgh, PA 15224-1768

Call (412) 518-7544 Map

Fax (412) 204-9133

Mailing address

430 Sarver Rd
Sarver, PA 16055-9502

Specialties and licenses

TaxonomyCodeLicense
Adolescent and Children Mental Health Clinic/Center Primary 261QM0855XNone listed

Adolescent and Children Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

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About NPI 1407114119

Nicole Lynn Petrusik, B.S.'s National Provider Identifier is 1407114119, issued on May 1, 2012. The primary taxonomy on file is Adolescent and Children Mental Health Clinic/Center (261QM0855X), and the practice location is in Pittsburgh, PA. The record was last updated on May 1, 2012.