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NPI Code Detail

MEDICARE: DR. MONICA PETROSKI PSY.D.

MEDICARE: DR. MONICA PETROSKI PSY.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologistPS018650PA
2103T00000XPsychologist06273MD

General Provider Information

NPI Number : 1700252608
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MONICA PETROSKI PSY.D.
Provider Business Mailing Address
First Line : PO BOX 307
Second Line :
City : SIMPSONVILLE
State : MD
Zip : 21150-0307
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7067 COLUMBIA GATEWAY DR STE 180
Second Line :
City : COLUMBIA
State : MD
Zip : 21046-3408
Country : US
Telephone Number : 443-896-8753
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2015
Last Update Date : 02/09/2023

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