Jane Ann Petschow
School Psychologist
445 W Chandler Blvd Apt 464
Chandler
, Arizona 85225-1965
Jane Ann Petschow
School Psychologist
445 W Chandler Blvd Apt 464
Chandler
, Arizona 85225-1965
(312) 934-4093
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About
Features
Specialties
- School Psychologist
Languages spoken
- English
Location
First Address
- Jane Ann Petschow
- 445 W Chandler Blvd Apt 464
- Chandler, AZ
- Zip : 85225-1965
- Phone : (312) 934-4093
Second Address
- Jane Ann Petschow
- 445 W Chandler Blvd Apt 464
- Chandler, AZ
- Zip : 85225-1965
- Phone : (312) 934-4093
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TS0200X | School Psychologist |
National Provider Identifier
| NPI | 1053912691 |
|---|---|
| Provider Name | Jane Ann Petschow |
| First Address | Chandler, AZ 85225-1965 |
| Second Address | Chandler, AZ 85225-1965 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/11/2020 |
| Last Update Date | 02/11/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.