DR. MARISSA M PETRALIA


Address: 11300 4th St N, Suite 115, St Petersburg, FL 33716-2918
Phone: 7275777500

DR. MARISSA M PETRALIA (NPI# 1841504966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1841504966
Entity Type Individual
Full Name DR. MARISSA M PETRALIA
Credential PH.D.
Practice Address 11300 4th St N
Suite 115
St Petersburg
FL 33716-2918
Practice Telephone 7275777500
Mailing Telephone 7275777500
Enumeration Date 2010-07-30
Last Update Date 2016-04-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
PY 8173 FL Behavioral Health & Social Service Providers

Office Location

Street Address 11300 4TH ST N
SUITE 115
City ST PETERSBURG
State FL
Zip Code 33716-2918

Providers in the same location

NPI Name Taxonomy Address Enumeration
1992257240 Gateway Psychological Services, LLC Psychologist 11300 4th St N, Suite 115, St Petersburg, FL 33716-2918 2016-11-02
1225499809 Jason P Hurley Dc LLC Chiropractor 11300 4th St N, Ste 140, St Petersburg, FL 33716 2016-03-10
1023417433 Premier Psychology, Pllc Psychologist 11300 4th St N, Suite 115, St Petersburg, FL 33716-2918 2014-08-21
1437431509 Michael Patrick Missory Psychologist 11300 4th St N, Suite 115, St Petersburg, FL 33716-2918 2011-09-15

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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1902390438 Christina B. Stabler, Pllc Psychologist 1507 4th St N, St Petersburg, FL 33704-4411 2018-06-18
1942793260 Clearpoint Psychology, LLC Psychologist 2201 Central Ave Ste 300, St Petersburg, FL 33713-8844 2018-06-11
1144760091 Nicole Archer Psychologist 163 5th Ave Ne, St Petersburg, FL 33701-3015 2017-02-26
1740730696 Ariana Wittgenstein Psychologist 7901 4th St N Ste 322, St Petersburg, FL 33702-4313 2016-10-04
1629483698 Nicole Agresto Psychologist 2150 49th St N Ste E, St Petersburg, FL 33710-5237 2014-06-27
1346535135 Stephanie Tabitha Cojocaru Psychologist 233 3rd St N Ste 101, St Petersburg, FL 33701-3818 2011-06-09
1780812669 Joseph D Carella Psychologist 5500 Dr Martin Luther King St N, St Petersburg, FL 33703-1204 2009-06-30
1417104225 Marissa Alexis Feldman Psychologist 880 6th St S Ste 420, St Petersburg, FL 33701-4825 2008-08-22
1437316239 David S Cubito Psyd Plc Psychologist 5565 Dr Mlk Jr Street North, St Petersburg, FL 33703 2008-05-20
1750435293 Claudia J Ressel-hodan Psychologist 3745 5th Ave N, St Petersburg, FL 33713-7519 2007-01-22
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Competitor

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City ST PETERSBURG
Zip Code 33716

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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