Petrosky, Gregory
Petrosky, Gregory is an sole proprietor health care provider with primary practice located at 29 College St , South Hadley MA 01075-1156. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Petrosky, Gregory can be contacted via phone (413) 532-3125.Contact Information
Primary practice address
29 College St
South Hadley MA 01075-1156
Phone: (413) 532-3125
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 6943 | Massachusetts |
Profile Details
| NPI number | 1538228838 |
|---|---|
| LBN Legal business name | Petrosky, Gregory |
| Credentials | ED.D |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 6th, 2006 |
| Last updated | Mar 31st, 2015 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538228838 | NPPES |
| Massachusetts | MEDICAID | 1891022 |
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