Provider Demographics
NPI:1992920367
Name:PETRY, MARGARET CARTHAS (PHD)
Entity type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:CARTHAS
Last Name:PETRY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12731 YARDLEY DR
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33428-4867
Mailing Address - Country:US
Mailing Address - Phone:561-271-1355
Mailing Address - Fax:
Practice Address - Street 1:12731 YARDLEY DR
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33428-4867
Practice Address - Country:US
Practice Address - Phone:561-271-1355
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-13
Last Update Date:2019-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY0005507103G00000X, 222Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist
No103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist