IndividualActive
Joseph Petrilak, MA PSYCHOLOGIST
NPI 1902860927 · Addiction (Substance Use Disorder) Psychologist · Media, PA
Provider details
- NPI number
- 1902860927
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) PsychologistBehavioral Health & Social Service Providers
- Credential
- MA PSYCHOLOGIST
- Sex
- Male
- License
- PS007687L (PA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
1223 N Providence Rd
Suite 3
Media, PA 19063-1235
Phone: (610) 842-1461
Approximate (ZIP-level) locationGet directions
Mailing address
1514 Athens Rd
Wilmington, DE 19803-5155
Registry dates
- Enumerated
- 2006-04-14
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.