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

Dr. Alan Petroski, PHD

Individual provider Clinical Psychologist · NPI 1265415921

Dr. Alan Petroski, PHD is a Clinical Psychologist in Forty Fort, Pennsylvania. Qualified in 1985, 41 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
41
Licensed in
PA
In the registry since
2005
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

1264 Wyoming Ave
Forty Fort, PA 18704-4138
Phone: (570) 288-8795
Fax: (570) 718-1786
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PS008935L (PA)

Record details

NPI number1265415921
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedNovember 26, 2005
Last updated in NPPESAugust 14, 2012
Mailing address36 Coslett Ln, Hunlock Creek, PA 18621-4014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1985 (41 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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