Brian D. Petrovich, Psyd, Lpc, LLC

NPI #1750553533 in Aurora, Missouri

Provider Information

NPI Number: 1750553533
Entity Type: Organization
Organization Name: Brian D. Petrovich, Psyd, Lpc, LLC
Primary Specialty: Psychologist - Clinical
Enumeration Date: Apr 1, 2008
Last Updated: Oct 26, 2009

Practice Location

Address: 308 W CHURCH ST
City: Aurora
State: Missouri
ZIP Code: 65605-1518
Phone: (417) 678-5532

Authorized Official

Name: DR. BRIAN D PETROVICH, PSYD
Title: MEMBER
Phone: (417) 678-5532

Specialties & Taxonomy Codes

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

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