Petell, Jennifer

Petell, Jennifer is an individual health care provider with primary practice located at 8626 Airways Blvd , Southaven MS 38671-2603. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Petell, Jennifer can be contacted via phone (662) 772-5937.

Contact Information

Primary practice address
8626 Airways Blvd Southaven MS 38671-2603
Phone: (662) 772-5937
Fax: (662) 772-5940
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Psychologist 103T00000X 641185 Mississippi

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 May 16th, 2024 - about 2 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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