| Doctor Name: | MRS. PEGGI LANDIS |
| NPI Number: | 1043477888 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSW |
| License Number: | CW014199 |
| Business Practice Address: | 73 E Forrest Ave Shrewsbury, PA - 173611400 |
| Business Phone Number: | 7172350199 |
| Business Fax Number: | 7172350383 |
| Mailing Address: | 18973 Gemmill Rd, STEWARTSTOWN |
| State: | PA |
| Postal Code: | 173637962 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 05/20/2008 |
| NPI Last Update Date: | 05/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | CW014199 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |