Petersen, Jody
Petersen, Jody is an sole proprietor health care provider with primary practice located at 21 Sackville St Unit A , Charlestown MA 02129-2041. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Petersen, Jody can be contacted via phone (856) 889-7310.Contact Information
Primary practice address
21 Sackville St Unit A
Charlestown MA 02129-2041
Phone: (856) 889-7310
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SL010621 | Pennsylvania |
Profile Details
| NPI number | 1598026080 |
|---|---|
| LBN Legal business name | Petersen, Jody |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 31st, 2012 |
| Last updated | Aug 20th, 2020 - about 6 years ago |
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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