Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jody Petersen

Individual provider Speech-Language Pathologist · NPI 1598026080

Jody Petersen is a Speech-Language Pathologist in Charlestown, Massachusetts. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2012

Practice location Address checks out

21 Sackville St Unit A
Charlestown, MA 02129-2041
Phone: (856) 889-7310
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SL010621 (PA)

Record details

NPI number1598026080
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 31, 2012
Last updated in NPPESAugust 20, 2020
Certification dateAugust 20, 2020
Mailing address21 Sackville St Unit A, Charlestown, MA 02129-2041

Other providers in Charlestown