Petell, Jennifer
Petell, Jennifer is an individual health care provider with primary practice located at 5908 Getwell Rd , Southaven MS 38672-7317. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Petell, Jennifer can be contacted via phone (901) 536-4646.Contact Information
Primary practice address
5908 Getwell Rd
Southaven MS 38672-7317
Phone: (901) 536-4646
Fax: (662) 536-4443
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 641185 | Mississippi |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 4107 | Tennessee |
Profile Details
| NPI number | 1710505268 |
|---|---|
| LBN Legal business name | Petell, Jennifer |
| Credentials | PH.D IN CLINICAL PSY |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 10th, 2020 |
| Last updated | Sep 30th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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