Petok, William David

Petok, William David is an sole proprietor health care provider with primary practice located at 479 Jumpers Hole Rd Suite 304B, Severna Park MD 21146-1600. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Petok, William David can be contacted via phone (410) 647-9166.

Contact Information

Primary practice address
479 Jumpers Hole Rd Suite 304B Severna Park MD 21146-1600
Fax: (410) 647-9174
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1349 Maryland

Profile Details

NPI number 1275607764
LBN Legal business name Petok, William David
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 17th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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