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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. FRED J PETRILLA JR., PHD

Active Sole Proprietor

DR. FRED J PETRILLA JR., PHD is a Clinical Psychologist healthcare provider located in VERO BEACH, Florida. NPI 1881671386 is currently active in the NPPES registry. Verify at CMS.

Clinical Psychologist · VERO BEACH, FL

Registration Details

NPI Number
1881671386
Provider Type
Individual
Gender
Male
NPI Issued
Dec 27, 2005 (20.441812721973 yrs)
Last Updated
Dec 8, 2011
Licenses
PY0002507 (FL)
SS33 (FL)
Sole Proprietor
Yes

Practice Information

Address
1903 25TH ST
VERO BEACH, FL, 329603366
Browse FL providers · Browse ZIP 32960
Phone
7725620777
Fax
7727703285
Primary Specialty
Clinical Psychologist
103TC0700X
Additional Specialty
School Psychologist

Other Clinical Psychologist Providers in VERO BEACH, FL

Name Credential NPI
DR. DARYL LYNN MILLMAN PH.D. 1316934607
ORLY ERNESTINA BELDNER-BELTEU PSY.D 1790749588
DAVID SJUR HOLLAND PSY.D. 1326075144
DR. GALIT SHALOM-CRAIG PSYD 1073530630
DR. ROBERT J BRUGNOLI PHD 1689681561
DR. MOLLY M SNELL PHD 1821165168
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.