Peachey, Charlene M

Peachey, Charlene M is an individual health care provider with primary practice located at 283 S Butler Rd , Lebanon PA 17042-8939. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Peachey, Charlene M can be contacted via phone (800) 932-0359.

Contact Information

Primary practice address
283 S Butler Rd Lebanon PA 17042-8939
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X CW013783 Pennsylvania

Profile Details

NPI number 1750442877
LBN Legal business name Peachey, Charlene M
Credentials MSW, LCSW
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2006
Last updated May 16th, 2024 - about 6 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750442877 NPPES
Pennsylvania MEDICAID 103744270
Pennsylvania Other CW013783
Pennsylvania Other 11657369

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