Susan Pepperwood is a Clinical in Ukiah, California. Susan Pepperwood practices all healthcare services and medical treatments related to Clinical. The NPI Number for Susan Pepperwood is 1780740266. The last update date is 2007-07-08.
Susan Pepperwood's current location address is 518 S School St, Ukiah, California. You can contact this provider via phone number 7074624369. The mailing address for Susan Pepperwood is 518 S School St, Ukiah, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Pepperwood |
|---|---|
| Address | 518 S School St, Ukiah, California |
| Phone Number | 7074624369 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1780740266 |
|---|---|
| Provider Enumeration Date | 2006-12-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 518 S School St |
|---|---|
| City | Ukiah |
| State | California (CA) |
| Post Code | 954825479 |
| Phone Number | 7074624369 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY13479 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PSY13479 | CA | CA PSYCHOLOGIST LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Susan Pepperwood by the Centers for Medicare & Medicaid Services?
The Susan Pepperwood has been assigned the NPI (National Provider Identifier) 1780740266 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Susan Pepperwood's physical address?
The Susan Pepperwood is physically located at 518 S School St, in the city of Ukiah, CA, with the postal code 954825479.
What is the Susan Pepperwood's area of specialization and corresponding taxonomy classification?
The Susan Pepperwood's specialty field is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1780740266 to Susan Pepperwood?
The Centers for Medicare & Medicaid Services originally issued the 1780740266 to Susan Pepperwood on 2006-12-29.
When was the information pertaining to Susan Pepperwood most recently updated or revised?
The details related to Susan Pepperwood, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.