| Doctor Name: | DR. ALAN PETROSKI |
| NPI Number: | 1265415921 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PHD |
| License Number: | PS008935L |
| Business Practice Address: | 1264 Wyoming Ave Forty Fort, PA - 187044138 |
| Business Phone Number: | 5702888795 |
| Business Fax Number: | 5707181786 |
| Mailing Address: | 36 Coslett Ln, HUNLOCK CREEK |
| State: | PA |
| Postal Code: | 186214014 |
| Phone Number: | 5704775608 |
| Fax Number: | 5704775542 |
| NPI Enumeration Date: | 11/26/2005 |
| NPI Last Update Date: | 08/14/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PS008935L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |