Greg Alan Peetoom is a Clinical in Peoria, Arizona. Greg Alan Peetoom practices all healthcare services and medical treatments related to Clinical. The NPI Number for Greg Alan Peetoom is 1326024332. The last update date is 2019-06-07.
Greg Alan Peetoom's current location address is 20470 N Lake Pleasant Rd Ste 106, Peoria, Arizona. You can contact this provider via phone number 7144746836 and fax number 6239338625. The mailing address for Greg Alan Peetoom is 20470 N Lake Pleasant Rd Ste 106, Peoria, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Greg Alan Peetoom |
|---|---|
| Address | 20470 N Lake Pleasant Rd Ste 106, Peoria, Arizona |
| Phone Number | 7144746836 |
| Fax Number | 6239338625 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1326024332 |
|---|---|
| Provider Enumeration Date | 2005-12-21 |
| Last Updated Date | 2019-06-07 |
Provider Mailing Address Detail
| Address | 20470 N Lake Pleasant Rd Ste 106 |
|---|---|
| City | Peoria |
| State | Arizona (AZ) |
| Post Code | 853829708 |
| Phone Number | 7144746836 |
| Fax Number | 6239338625 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY3097 |
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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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What is the unique 10-digit identification code assigned to Greg Alan Peetoom by the Centers for Medicare & Medicaid Services?
The Greg Alan Peetoom has been issued the NPI (National Provider Identifier) 1326024332, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
When did the Greg Alan Peetoom receive its 1326024332?
The Greg Alan Peetoom was issued its 1326024332 on 2005-12-21, which is the date when the organization was assigned this unique identifier.
On what date did the Greg Alan Peetoom receive its 1326024332 assignment from the Centers for Medicare & Medicaid Services?
The Greg Alan Peetoom was assigned its 1326024332 by the Centers for Medicare & Medicaid Services on 2005-12-21.
As of what date were the Greg Alan Peetoom's details last updated?
The information pertaining to the Greg Alan Peetoom, including its address, specialty, and other details, was most recently updated on 2019-06-07.
As of what date were the details related to Greg Alan Peetoom most recently updated or revised?
The information pertaining to Greg Alan Peetoom, including its address, specialty, and other relevant details, was last updated or revised on 2019-06-07.
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