Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RALPH J PETRUCCI, ED.D.
Active Sole ProprietorDR. RALPH J PETRUCCI, ED.D. is a Clinical Neuropsychologist healthcare provider located in LANSDALE, Pennsylvania. NPI 1770559056 is currently active in the NPPES registry. Verify at CMS.
Clinical Neuropsychologist · LANSDALE, PA
Registration Details
- NPI Number
- 1770559056
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 27, 2006 (20.434867686946 yrs)
- Last Updated
- May 25, 2016
- Licenses
-
PS0003012-L (PA)PS0003012-L (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
125 MEDICAL CAMPUS DRSUITE 206LANSDALE, PA, 194467205Browse PA providers · Browse ZIP 19446
- Phone
- 2152335688
- Primary Specialty
-
Clinical Neuropsychologist
103G00000X
- Additional Specialty
- Psychologist
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.