NPI | 1184213498 |
---|---|
Other Name | TONY PETRUZZELLA |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY11566) |
Additional Taxonomies | 103T00000X Psychologist (Licence: FL PY11566) |
Enumeration Date | 2021-01-12 |
Last Update Date | 2024-02-24 |