SearchMaryland103T00000X

William Petok, PH.D

NPI 1275607764 · on the registry since 2006 · sole proprietor

Practice

Address
479 Jumpers Hole Rd
Suite 304b
Severna Park, MD 21146
Phone
(410) 647-9166
Fax
(410) 647-9174
Organisation at this address
Geniehealth Llc
Mid-Atlantic Ent, Llc
Severna Park Smiles Llc
William D Petok, Phd, Pa
Respire Behavioral Health
Inferred from a shared address, not stated in the registry.
Clinicians at this address
13

Registry record

Primary taxonomy
103T00000X
103T00000X
Licence states on file
MD
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland