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JODY PETERSEN
NPI 1598026080
Speech-Language Pathologist in Charlestown, MA

Active since May 31, 2012
21 SACKVILLE ST UNIT A, CHARLESTOWN, MA 02129(856) 889-7310 Get Directions Write a Review

NPPES record last updated: August 20, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Jody Petersen NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JODY PETERSEN (NPI 1598026080) is an individual speech-language pathologist provider in Charlestown, Massachusetts, licensed in Pennsylvania (SL010621) and active in the NPI registry since May 2012.

NPPES Registry Identity

NPI1598026080
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameJODY PETERSEN
Location Address21 SACKVILLE ST UNIT ACharlestown, MA 02129-2041
Mailing Address21 Sackville St Unit ACharlestown, MA 02129-2041 · (856) 889-7310
Phone(856) 889-7310
Sole ProprietorYes
Enumeration DateMay 31, 2012
Last NPPES UpdateAugust 20, 2020
NPPES CertifiedAugust 20, 2020
✔ NPI 1598026080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in PA · SL010621
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
21 SACKVILLE ST UNIT A, Charlestown, MA 02129
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jody Petersen's NPI number?

The NPI number for Jody Petersen is 1598026080. It was assigned to this individual provider in the NPPES registry on May 31, 2012.

Where is Jody Petersen located?

Jody Petersen practices at 21 Sackville St Unit A, Charlestown, MA 02129. The listed phone number is (856) 889-7310.

What is Jody Petersen's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Jody Petersen was last updated on August 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.