MR. JOSEPH SCOTT PETRILAK MA PSYCHOLOGIST - NPI 1902860927

Q: What is the provider's specialty?

The provider's specialty is Psychologist with taxonomy code 103TA0400X and a focus in Addiction (Substance Use Disorder).

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About Mr. Joseph Scott Petrilak Ma Psychologist NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JOSEPH SCOTT PETRILAK MA PSYCHOLOGIST (NPI 1902860927) is an individual addiction (substance use disorder) provider in Media, Pennsylvania, licensed in Pennsylvania (PS007687L) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1902860927

Entity TypeIndividualMale

Primary Taxonomy103TA0400X

Provider Legal NameMR. JOSEPH SCOTT PETRILAKCredential: MA PSYCHOLOGIST

Location Address1223 N PROVIDENCE RD, SUITE 3Media, PA 19063-1235

Mailing Address1514 Athens RdWilmington, DE 19803-5155 · (302) 478-7476

Phone(610) 842-1461

Sole ProprietorNo

Enumeration DateApril 14, 2006

Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration

✔ NPI 1902860927 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code103TA0400X

License✔ Licensed in PA · PS007687L

Definition

A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior.

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License PS007687L (PA)

1223 N PROVIDENCE RD, Media, PA 19063

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