Peacock, Amanda B.

Peacock, Amanda B. is an individual health care provider with primary practice located at 21 Pequossette St , Watertown MA 02472-2761. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Peacock, Amanda B. can be contacted via phone (617) 320-3709.

Contact Information

Primary practice address
21 Pequossette St Watertown MA 02472-2761
Phone: (617) 320-3709
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1831300334
LBN Legal business name Peacock, Amanda B.
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2007
Last updated Jul 8th, 2007 - about 17 years 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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