Sherry L Peck in Port Washington - Addiction (substance Use Disorder)
Sherry L Peck - NPI 1285644625
Sherry L Peck is a Addiction (substance Use Disorder) in Port Washington, Wisconsin. Sherry L Peck practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Sherry L Peck is 1285644625. The last update date is 2009-05-29.
Sherry L Peck's current location address is 121 W Main St, Port Washington, Wisconsin. You can contact this provider via phone number 2622848200 and fax number 2622848104. The mailing address for Sherry L Peck is 121 W Main St, Port Washington, Wisconsin. To know further, please read the information below!
Provider Profile Detail
Provider Name | Sherry L Peck |
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Address | 121 W Main St, Port Washington, Wisconsin |
Phone Number | 2622848200 |
Fax Number | 2622848104 |
Sole Proprietor | N |
Credentials | LPC, ATR |
NPI Number Detail
NPI Number | 1285644625 |
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Provider Enumeration Date | 2006-08-08 |
Last Updated Date | 2009-05-29 |
Provider Mailing Address Detail
Address | 121 W Main St |
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City | Port Washington |
State | Wisconsin (WI) |
Post Code | 530741813 |
Phone Number | 2622848200 |
Fax Number | 2622848104 |
Provider's Primary Taxonomy Detail
Speciality | Addiction (substance Use Disorder) |
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Taxonomy | 101Ya0400X |
Licence No | 3488-125 |
Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
40976900 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Sherry L Peck by the Centers for Medicare & Medicaid Services?
The Sherry L Peck has been assigned the NPI (National Provider Identifier) 1285644625 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Sherry L Peck?
The Sherry L Peck is situated at 121 W Main St, in the city of Port Washington, state of WI, with the zip code 530741813.
What is Sherry L Peck's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Sherry L Peck is Addiction (substance Use Disorder), and the taxonomy code that categorizes this field of expertise is 101Ya0400X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1285644625 to Sherry L Peck?
The Centers for Medicare & Medicaid Services originally issued the 1285644625 to Sherry L Peck on 2006-08-08.
When was the Sherry L Peck's information last updated?
The Sherry L Peck's information was last updated on 2009-05-29.