Peetoom, Greg Alan
Peetoom, Greg Alan is an sole proprietor health care provider with primary practice located at 20470 N Lake Pleasant Rd Ste 106 , Peoria AZ 85382. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Peetoom, Greg Alan can be contacted via phone (714) 474-6836.Contact Information
Primary practice address
20470 N Lake Pleasant Rd Ste 106
Peoria AZ 85382
Phone: (714) 474-6836
Fax: (623) 933-8625
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 26262 | California |
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY3097 | Arizona |
Profile Details
NPI number | 1326024332 |
---|---|
LBN Legal business name | Peetoom, Greg Alan |
Credentials | PH.D. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 21st, 2005 |
Last updated | Jun 7th, 2019 - about 6 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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