MS. JODY PETZOLDT M.A. NPI 1689941528

NPI Information

  • NPI: 1689941528
  • Provider Name: MS. JODY PETZOLDT, M.A.
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • Address: 340 S BROADVIEW ST
    CAPE GIRARDEAU, MO
    ZIP 63703
  • Phone: (573) 332-0416

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NPI Details

MS. Jody Petzoldt, M.A. is a professional counselor in Cape Girardeau, MO. MS. Jody Petzoldt, M.A. NPI is 1689941528. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

340 S BROADVIEW ST
CAPE GIRARDEAU, MO
ZIP 63703-703
Phone: (573) 332-0416
Fax: (573) 335-2698

The enumeration date for this NPI number is 11/21/2011 and was last updated on 11/21/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessional2011036260MISSOURIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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