Penny Petrik, ED.S.

NPI #1265985774 in Madison, South Dakota

Provider Information

NPI Number: 1265985774
Entity Type: Individual
Name: Penny Petrik, ED.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - School
Credential: ED.S.
Enumeration Date: Aug 2, 2016
Last Updated: Aug 2, 2016

Practice Location

Address: 820 N WASHINGTON AVE
Address 2: HEARTLAND BUILDING
City: Madison
State: South Dakota
ZIP Code: 57042-1735
Phone: (605) 256-5555

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - School — School	103TS0200X	Primary

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