Jody Petersen
Speech-Language Pathologist · Charlestown, MA
Practice location
21 Sackville St Unit aCharlestown, MA 02129-2041
- Phone
- (856) 889-7310
NPI record
- NPI
- 1598026080
- Entity type
- Individual (Type 1)
- Enumeration date
- May 31, 2012
- Last updated
- August 20, 2020
- Certified
- August 20, 2020
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X |
SL010621 | PA |
About Jody Petersen
Jody Petersen is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 21 Sackville St Unit a, Charlestown, MA 02129-2041. The NPI number 1598026080 was assigned on May 31, 2012 and the record was last updated on August 20, 2020.
Jody Petersen lists a license in the registry: #SL010621 (PA) for Speech-Language Pathologist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Jody Petersen?
The NPI number is 1598026080.
What is the phone number of Jody Petersen?
The phone number listed for the practice location is (856) 889-7310.
Where is Jody Petersen located?
21 Sackville St Unit a, Charlestown, MA 02129-2041.
What is the taxonomy code for Jody Petersen?
The primary taxonomy code is 235Z00000X – Speech-Language Pathologist.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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