Doctor Name: | DONETTA S PEEK |
NPI Number: | 1003864604 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LISW |
License Number: | I-0005931 |
Business Practice Address: | 102 Dawn Ln Waverly, OH - 456909695 |
Business Phone Number: | 7409477783 |
Business Fax Number: | 7409474226 |
Mailing Address: | 102 Dawn Ln, WAVERLY |
State: | OH |
Postal Code: | 456909695 |
Phone Number: | 7409477783 |
Fax Number: | 7409474226 |
NPI Enumeration Date: | 05/05/2006 |
NPI Last Update Date: | 03/13/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | I-0005931 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |