NICOLE LYNN PETRUSIK B.S. NPI 1407114119

NPI Information

Nicole Lynn Petrusik, B.S. is an adolescent and children mental health clinic center in Pittsburgh, PA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. Nicole Lynn Petrusik, B.S. NPI is 1407114119. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5231 PENN AVE
PITTSBURGH, PA
ZIP 15224-768
Phone: (412) 518-7544
Fax: (412) 204-9133

The enumeration date for this NPI number is 5/1/2012 and was last updated on 5/1/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.