Peckham, Deborah
Peckham, Deborah is an sole proprietor health care provider with primary practice located at 57A Indian Ln , Canton MA 02021-3540. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Peckham, Deborah can be contacted via phone (617) 970-6681.Contact Information
Primary practice address
57A Indian Ln
Canton MA 02021-3540
Phone: (617) 970-6681
Fax: (781) 989-4772
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 1031065 | Massachusetts |
Profile Details
| NPI number | 1306982798 |
|---|---|
| LBN Legal business name | Peckham, Deborah |
| Credentials | LICSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 30th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306982798 | NPPES |
| Massachusetts | Other | P07929 | BCBS PROVIDER # |
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