Jennifer Petell, PHD IN CLINICAL PSY - Counselor in Southaven, MS

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Jennifer Petell, PHD IN CLINICAL PSY is a Psychologist based in Southaven, Mississippi. Jennifer Petell is licensed to practice in Mississippi (license number 641185) and her current practice location is 5908 Getwell Rd, Southaven, Mississippi. She can be reached at her office (for appointments etc.) via phone at (901) 536-4646.

NPI number for Jennifer Petell is 1710505268 and her current mailing address is 1211 Union Ave Ste 330, Memphis, Tennessee. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1710505268.

Contact Information

Jennifer Petell, PHD IN CLINICAL PSY
5908 Getwell Rd,
Southaven, MS 38672-7317
(901) 536-4646
(662) 536-4443

Map and Direction


Healthcare Provider's Profile

Full NameJennifer Petell
GenderFemale
SpecialityPsychologist
Location5908 Getwell Rd, Southaven, Mississippi
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1710505268
  • Provider Enumeration Date: 07/10/2020
  • Last Update Date: 09/23/2024

Medical Identifiers

Medical identifiers for Jennifer Petell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710505268NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health (* (Not Available))Secondary
103T00000XPsychologist 641185 (Mississippi)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jennifer Petell is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jennifer Petell, PHD IN CLINICAL PSY
1211 Union Ave Ste 330,
Memphis, TN 38104-6655

Ph: () -		Jennifer Petell, PHD IN CLINICAL PSY
5908 Getwell Rd,
Southaven, MS 38672-7317

Ph: (901) 536-4646

Reviews and Comments


Psychologist in Southaven, MS


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