Gretchen Gimpel Peacock, - Psychologist in Logan, UT

Gretchen Gimpel Peacock, is a Psychologist based in Logan, Utah. Gretchen Gimpel Peacock is licensed to practice in Utah (license number 326646-2501) and her current practice location is 2810 Old Main Hl, Department Of Psychology, Logan, Utah. She can be reached at her office (for appointments etc.) via phone at (435) 797-0721.

NPI number for Gretchen Gimpel Peacock is 1104858695 and her current mailing address is 2810 Old Main Hl, Department Of Psychology, Logan, Utah. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1104858695.

Contact Information

Gretchen Gimpel Peacock,
2810 Old Main Hl, Department Of Psychology,
Logan, UT 84322-2810
(435) 797-0721
(435) 797-1448



Healthcare Provider's Profile

Full NameGretchen Gimpel Peacock
GenderFemale
SpecialityPsychologist
Location2810 Old Main Hl, Logan, Utah
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1104858695
  • Provider Enumeration Date: 07/07/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Gretchen Gimpel Peacock such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104858695NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist 326646-2501 (Utah)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Gretchen Gimpel Peacock is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Gretchen Gimpel Peacock,
2810 Old Main Hl, Department Of Psychology,
Logan, UT 84322-2810

Ph: (435) 797-0721
Gretchen Gimpel Peacock,
2810 Old Main Hl, Department Of Psychology,
Logan, UT 84322-2810

Ph: (435) 797-0721

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Psychologist in Logan, UT

Dr. Monique R Frazier, PHD
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Medicare: Accepting Medicare Assignments
Practice Location: 246 E 1260 N, Logan, UT 84341
Phone: 435-750-6300    Fax: 435-753-8995
Dr. Rick Anthony Cruz, PH.D.
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Medicare: Not Enrolled in Medicare
Practice Location: 6405 Old Main Hill, Logan, UT 84322
Phone: 435-797-3401    
Ms. Graca Maria De Oliveira Costa, PSY D
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Medicare: Accepting Medicare Assignments
Practice Location: 90 E 200 N, Logan, UT 84321
Phone: 435-752-0750    
Dr. Kyle Max Hancock, PHD
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Medicare: Accepting Medicare Assignments
Practice Location: 246 E 1260 N, Logan, UT 84341
Phone: 435-750-6300    Fax: 435-753-8995
Dr. Steven Lucero, PHD, MBA
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Medicare: Not Enrolled in Medicare
Practice Location: 93 S 1250 E, Logan, UT 84321
Phone: 307-631-0148    
Dr. Shelley Renee Upton, PHD, LP
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 6405 Old Main Hill, Logan, UT 84322
Phone: 435-797-0576    

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