Jody Petersen
NPI #1598026080 in Charlestown, Massachusetts
Provider Information
- NPI Number
- 1598026080
- Entity Type
- Individual
- Name
- Jody Petersen
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- May 31, 2012
- Last Updated
- Aug 20, 2020
Practice Location
- Address
- 21 SACKVILLE ST UNIT A
- City
- Charlestown
- State
- Massachusetts
- ZIP Code
- 02129-2041
- Phone
- (856) 889-7310
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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