| Petrus Psychology Professional Corporation | |
|
3625 E Thousand Oaks Blvd Suite 135 Westlake Village CA 91362-3626 | |
| (805) 496-6180 | |
| Not Available |
| Full Name | Petrus Psychology Professional Corporation |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 3625 E Thousand Oaks Blvd, Westlake Village, California |
| Authorized Official Name and Position | Gina Petrus (SECRETARY) |
| Authorized Official Contact | 8054966180 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Petrus Psychology Professional Corporation 3625 E Thousand Oaks Blvd Suite 135 Westlake Village CA 91362-3626 Ph: (805) 496-6180 | Petrus Psychology Professional Corporation 3625 E Thousand Oaks Blvd Suite 135 Westlake Village CA 91362-3626 Ph: (805) 496-6180 |
| NPI Number | 1902016348 |
|---|---|
| Provider Enumeration Date | 05/23/2007 |
| Last Update Date | 09/18/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902016348 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY17390 (California) | Primary |
| 103TC0700X | Psychologist - Clinical | PSY19903 (California) | Secondary |
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