Individual provider · Type 1 NPI
Fred J. Petrilla Jr., PhD
Clinical Psychologist · Vero Beach, FL
Practice location
1903 25th St
Vero Beach, FL 32960-3366
Fax (772) 770-3285
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Psychologist Primary | 103TC0700X | PY0002507 (FL) |
| School Psychologist | 103TS0200X | SS33 (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 1881671386
Fred J. Petrilla Jr., PhD's National Provider Identifier is 1881671386, issued on Dec 27, 2005. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Vero Beach, FL. The record was last updated on Dec 8, 2011.