Peach Tree Healthcare

NPI 1003863622 - Psychologist - 103T00000X

NPI Details
NPI 1003863622
Enumeration Date 05/28/2006
Last Updated 04/09/2015
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name GREG GREG
Position CEO
Phone (530) 749-3242
Fax (530) 749-3238
Practice Location
5730 PACKARD AVE
SUITE 500
MARYSVILLE CA, 95901-7118, US
Phone (530) 749-3242
Fax (530) 749-3238
Business Location
1114 YUBA ST
SUITE 144
MARYSVILLE CA, 95901-4838, US
Phone (530) 741-6245
Fax (530) 741-9274
Toxanomy
Taxonomy Code 103T00000X
License State California
License Number PSY10876
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According to our database, Peach Tree Healthcare NPI is 1003863622, taxonomy code is 103T00000X and license number is PSY10876, license state is located at California. Peach Tree Healthcare physically located at 5730 Packard Ave, Marysville CA, 95901-7118. NPI Number 1033115704 has the healthcare provider type.

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1003863622 NPI number is provided on an as is basis without warranty of any kind. 1003863622 is maintained by the National Plan & Provider Enumeration System. The contents of Peach Tree Healthcare are for informational purposes only.