Doctor Name: | PEGGY A QUINN |
NPI Number: | 1144215351 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 34004098A |
Business Practice Address: | 24 Joliet St Dyer, IN - 463111705 |
Business Phone Number: | 2193225747 |
Business Fax Number: | 2198642282 |
Mailing Address: | Po Box 1000, DYER |
State: | IN |
Postal Code: | 463110800 |
Phone Number: | 2198642107 |
Fax Number: | 2198642649 |
NPI Enumeration Date: | 09/14/2005 |
NPI Last Update Date: | 07/25/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 34004098A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |