Jodell Rae Petit APSW, CSAC, ICS

  • NPI 1386881522
According to our database, the NPI number for Jodell Rae Petit APSW, CSAC, ICS is 1386881522 and activated since 15 years ago. Jodell Rae Petit APSW, CSAC, ICS is an individual provider who specializes in Clinical, and the primary practice location is 13380 W Trepania Rd, Hayward, WI 54843. You can also contact Jodell Rae Petit APSW, CSAC, ICS via telephone number is (715) 638-5102. Provider NPI information was last updated on 06/18/2014.

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Overview of Jodell Rae Petit APSW, CSAC, ICS

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 01/09/2009
  • Last updated: 06/18/2014

Primary Scrop of Practice

  • Taxonomy Code: 1041C0700X
  • Specialty: Clinical
  • License Number: 128733-121
  • License State: WI

Provider Mailing Address

  • Address: 13380 W Trepania Rd
    Hayward, WI 54843
  • Phone: 715-638-5102
  • Fax: 715-634-6107

Provider Practice Location

  • Address: 13380 W Trepania Rd
    Hayward, WI 54843
  • Phone: 715-638-5102
  • Fax: 715-634-6107

Scope of Practice

  • Taxonomy Code: 1041C0700X
  • Specialty: Clinical
  • License Number: 128733-121
  • License State: WI
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 1386881522
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: WI
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Jodell Rae Petit APSW, CSAC, ICS?
  • A: The npi number for Jodell Rae Petit APSW, CSAC, ICS is 1386881522.
  • Q: What are Jodell Rae Petit APSW, CSAC, ICS's specialties?
  • A: Jodell Rae Petit APSW, CSAC, ICS's specialties are Clinical and different specialities.
  • Q: What is the medical license for Jodell Rae Petit APSW, CSAC, ICS?
  • A: The medical license number for Jodell Rae Petit APSW, CSAC, ICS is 128733-121 and issued in WI in USA.
  • Q: Where is Jodell Rae Petit APSW, CSAC, ICS practice location?
  • A: Jodell Rae Petit APSW, CSAC, ICS is practicing at 13380 W Trepania Rd, Hayward, WI 54843.
  • Q: How to contact Jodell Rae Petit APSW, CSAC, ICS?
  • A: You can contact Jodell Rae Petit APSW, CSAC, ICS via 715-638-5102.