Lynn C Petras, PH.D.

NPI #1710059340 in Ooltewah, Tennessee

Provider Information

NPI Number: 1710059340
Entity Type: Individual
Name: Lynn C Petras, PH.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - Clinical
Credential: PH.D.
Enumeration Date: Nov 15, 2006
Last Updated: Sep 10, 2012

Practice Location

Address: 5701 RILEY RD
City: Ooltewah
State: Tennessee
ZIP Code: 37363-6883
Phone: (423) 326-1258

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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