Provider Demographics
NPI:1962674457
Name:PEPPEL, JODI LYNN (MA)
Entity Type:Individual
Prefix:MS
First Name:JODI
Middle Name:LYNN
Last Name:PEPPEL
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5867 FORBES AVE
Mailing Address - Street 2:STE 201
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15217-1601
Mailing Address - Country:US
Mailing Address - Phone:412-521-3644
Mailing Address - Fax:
Practice Address - Street 1:5867 FORBES AVE
Practice Address - Street 2:STE 201
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15217-1601
Practice Address - Country:US
Practice Address - Phone:412-521-3644
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-25
Last Update Date:2008-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor