Provider Information
Last Updated : Aug 30 2024 11:08 AM
Michael Petrovich
City Clovis |
Group HEALTH NET DIRECT FFS MEDI-CAL |
Specialty Psychology |
Last Name Petrovich |
First Name Michael |
Address 3097 Willow Ave Ste 5 |
State CA |
Zip Code 93612 |
Phone (559)586-6778 |
Hours Tue - Thu 9:00 AM - 4:00 PM |
Gender M |
Title PH.D. |
Physician ID 911390 |
Section Number A |
County FRESNO |
Accepting New Patient Yes |
PPG NAME HEALTH NET DIRECT FFS MEDI-CAL |
PPG ID MHDML |
NPI Number 1104985928 |
Access Requirement Limited |
PARKING_IND P |
EXT_BUILD_IND EB |
INT_BUILD_IND IB |
RESTROOM_IND R |
License ID PSY10178 |
Email thesullivancenterforchildren@sc4c.com |
Board Certified No |
Self Access Flag Self Reported Data |
Panel Status Available by referral only |