IndividualActive
Jeffrey Petra, PH.D.
NPI 1487739603 · Clinical Child & Adolescent Psychologist · Olympia, WA
Provider details
- NPI number
- 1487739603
- Entity type
- Individual
- Primary specialty
- Clinical Child & Adolescent PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1800 Cooper Point Rd Sw Ste 17
Olympia, WA 98502-1179
Phone: (360) 754-4662
Fax: (360) 352-3289
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 11009
Olympia, WA 98508-1009
Registry dates
- Enumerated
- 2006-10-26
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.