Search › Pennsylvania › 103TA0400X
Joseph Petrilak, MA PSYCHOLOGIST
NPI 1902860927 · on the registry since 2006
Practice
- Address
- 1223 N Providence Rd
Suite 3
Media, PA 19063 - Phone
- (610) 842-1461
- Organisation at this address
- Advanced Behavioral Care
Scott I Rothbart Dds Llc
Advanced Behavioral Care Inc
Bzg Oral And Maxillofacial Surgery Center LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 8
Registry record
- Primary taxonomy
- 103TA0400X
103TA0400X
- Also registered as
- 103TC0700X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-07-13
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 Pennsylvania