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Dr. Keith Daniel Petrosky, PHD
Psychologist in Media, Pennsylvania
NPI 1699733261

Keith Daniel Petrosky is a Psychologist based in Media, PA. Keith Daniel Petrosky practices in Media, PA and has the professional credentials of PHD. The NPI Number for Keith Daniel Petrosky is 1699733261 and holds a License No. PS004244L (Pennsylvania).

The current practice location address for Keith Daniel Petrosky is 1078 W Baltimore Pike, Media, PA and can be reached out via phone at 484-444-0366 and via fax at 610-565-1425. You can also correspond with Keith Daniel Petrosky through the mailing address at 1078 W BALTIMORE PIKE, MEDIA, PA - 19063-5105 (mailing address contact number: 484-444-0366).

Location: 1078 W Baltimore Pike, Media, PA, 19063-5105
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699733261
Provider Name
Keith Daniel Petrosky
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
1078 W Baltimore Pike, Media, PA, 19063-5105
Phone Number
484-444-0366
Fax Number
610-565-1425
Provider Enumeration Date
05/03/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
2123008 01 PA UNITED HEALTHCARE
2119379 01 PA CIGNA
0390500000 01 PA AMERIHEALTH
institution
Provider Business Practice Location Address Details
Address
1078 W Baltimore Pike
City
Media
State
Pennsylvania
Zip
19063-5105
Phone Number
484-444-0366
Fax Number
610-565-1425
person
Provider Business Mailing Address Details
Address
1078 W Baltimore Pike
City
Media
State
Pennsylvania
Zip
19063-5105
Phone Number
484-444-0366
Fax Number
610-565-1425
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
-
Taxonomy
103T00000X
License No.
PS004244L (Pennsylvania)
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
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