Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Fred J Petrilla Jr PHD & Associates PA

Organization Clinical Psychologist · NPI 1003190059

Fred J Petrilla Jr PHD & Associates PA is a Clinical Psychologist in Vero Beach, Florida. Licensed in Florida. Registered with an NPI since 2011.

Licensed in
FL
In the registry since
2011
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1903 25th St
Vero Beach, FL 32960-3366
Phone: (772) 562-0777
Fax: (772) 770-3285
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PY0002507 (FL)
School Psychologist Taxonomy 103TS0200X · Licence SS33 (FL)

Record details

NPI number1003190059
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Fred Petrilla — President · (772) 562-0777
NPI enumeratedOctober 7, 2011
Last updated in NPPESNovember 17, 2011
Mailing address1903 25th St, Vero Beach, FL 32960-3366

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