DR. Michael William Petrasek, PSYCHOLOGIST

NPI #1518124635 in Brecksville, Ohio

Provider Information

NPI Number: 1518124635
Entity Type: Individual
Name: DR. Michael William Petrasek, PSYCHOLOGIST
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist
Credential: PSYCHOLOGIST
Enumeration Date: May 16, 2008
Last Updated: May 16, 2008

Practice Location

Address: 7650 CHIPPEWA RD
Address 2: SUITE # 213
City: Brecksville
State: Ohio
ZIP Code: 44141-2316
Phone: (440) 546-0454

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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