Larry Dean Peacock in Springfield - Professional
Larry Dean Peacock - NPI 1871600825
Larry Dean Peacock is a Professional in Springfield, Virginia. Larry Dean Peacock practices all healthcare services and medical treatments related to Professional. The NPI Number for Larry Dean Peacock is 1871600825. The last update date is 2007-07-08.
Larry Dean Peacock's current location address is 6614 Custer St, Springfield, Virginia. You can contact this provider via phone number 7039226544. The mailing address for Larry Dean Peacock is 6614 Custer St, Springfield, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Larry Dean Peacock |
|---|---|
| Address | 6614 Custer St, Springfield, Virginia |
| Phone Number | 7039226544 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LPC, CSAC |
NPI Number Detail
| NPI Number | 1871600825 |
|---|---|
| Provider Enumeration Date | 2006-08-24 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 6614 Custer St |
|---|---|
| City | Springfield |
| State | Virginia (VA) |
| Post Code | 221501501 |
| Phone Number | 7039226544 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Professional |
|---|---|
| Taxonomy | 101Yp2500X |
| Licence No | 701003461 |
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Definition: A general counselor who helps people with personal, social, educational, and career issues. |
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What is the unique provider identifier assigned to Larry Dean Peacock?
The Larry Dean Peacock has been issued the NPI (National Provider Identifier) 1871600825 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Larry Dean Peacock?
The Larry Dean Peacock is situated at 6614 Custer St, in the city of Springfield, state of VA, with the zip code 221501501.
What is the area of specialization for Larry Dean Peacock, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Larry Dean Peacock is Professional, and the corresponding taxonomy code that categorizes this area of expertise is 101Yp2500X.
On what date did the Larry Dean Peacock receive the assignment of its 1871600825 from the Centers for Medicare & Medicaid Services?
The Larry Dean Peacock was issued its 1871600825 by the Centers for Medicare & Medicaid Services on 2006-08-24.
When was the information regarding Larry Dean Peacock most recently updated?
The details pertaining to the Larry Dean Peacock, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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