Peck, Tina
Peck, Tina is an sole proprietor health care provider with primary practice located at 34 W 400 N Ste 1 , Brigham City UT 84302. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Peck, Tina can be contacted via phone (435) 494-1557.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 9177224-3501 | Utah |
Profile Details
| NPI number | 1164779138 |
|---|---|
| LBN Legal business name | Peck, Tina |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 9th, 2012 |
| Last updated | Aug 15th, 2019 - about 5 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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