GRETCHEN PEACOCK

Psychologist

Active Individual
NPI: 1104858695

Practice Address

2810 OLD MAIN HL
DEPARTMENT OF PSYCHOLOGY
Logan, UT 84322

Phone: (435) 797-0721

Specialties

Specialty Code Primary License
Psychologist 103T00000X Yes 326646-2501 (UT)

Frequently Asked Questions

NPI 1104858695 is the National Provider Identifier for GRETCHEN PEACOCK, a Psychologist provider located in Logan, UT. This NPI was enumerated on July 7, 2006.
GRETCHEN PEACOCK practices at 2810 OLD MAIN HL, DEPARTMENT OF PSYCHOLOGY, Logan, UT 84322.

Quick Facts

NPI
1104858695
Type
Individual
Enumerated
Jul 7, 2006
Last Updated
Jul 8, 2007

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