Michael James Peacock, | |
113 E F St, Tehachapi, CA 93561-1710 | |
(661) 822-8223 | |
Not Available |
Full Name | Michael James Peacock |
---|---|
Gender | Male |
Speciality | Case Manager/care Coordinator |
Location | 113 E F St, Tehachapi, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538613948 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 6301016803 (Michigan) | Secondary |
171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
Michael James Peacock, 113 E F St, Tehachapi, CA 93561-1710 Ph: () - | Michael James Peacock, 113 E F St, Tehachapi, CA 93561-1710 Ph: (661) 822-8223 |
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