Individual
JENNIFER PETELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D IN CLINICAL PSY
Contact information
Practice address
5908 GETWELL RD, SOUTHAVEN, MS 38672-7317
(901) 536-4646
(662) 536-4443
Mailing address
1211 UNION AVE STE 330, MEMPHIS, TN 38104-6655
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
4107
TN
103T00000X
Psychologist
Primary
641185
MS
Other
Enumeration date
07/10/2020
Last updated
09/30/2025
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