Doctor Name: | DEBRA J PEASLEY |
NPI Number: | 1033291356 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CNS |
License Number: | 26NJ00043600 |
Business Practice Address: | 2 White Horse Pike Haddon Heights, NJ - 080351294 |
Business Phone Number: | 8563100042 |
Business Fax Number: | 8563100092 |
Mailing Address: | 2 White Horse Pike, HADDON HEIGHTS |
State: | NJ |
Postal Code: | 080351294 |
Phone Number: | 8563100042 |
Fax Number: | 8563100092 |
NPI Enumeration Date: | 10/19/2006 |
NPI Last Update Date: | 07/21/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364SP0808X |
License Number: | 26NJ00043600 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |