Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICOLE LYNN PETRUSIK, B.S.
Active Sole ProprietorNICOLE LYNN PETRUSIK, B.S. is a Adolescent and Children Mental Health Clinic healthcare provider located in PITTSBURGH, Pennsylvania. NPI 1407114119 is currently active in the NPPES registry. Verify at CMS.
Adolescent and Children Mental Health Clinic · PITTSBURGH, PA
Registration Details
- NPI Number
- 1407114119
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 1, 2012 (14.243216103214 yrs)
- Last Updated
- May 1, 2012
- Sole Proprietor
- Yes
Practice Information
- Address
-
5231 PENN AVEPITTSBURGH, PA, 152241768Browse PA providers · Browse ZIP 15224
- Phone
- 4125187544
- Fax
- 4122049133
- Primary Specialty
-
Adolescent and Children Mental Health Clinic
261QM0855X
Other Adolescent and Children Mental Health Clinic Providers in PITTSBURGH, PA
| Name | Credential | NPI |
|---|---|---|
| MRS. REBECCA CANOBBIO ABEL | MSW, LSW | 1649444159 |
| ZANDRA ROBINSON | MS, NCC, LPC | 1568165322 |
| LYDIA GIBSON | — | 1356115216 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.