Doctor Name: | PEGGY ANN NUNN |
NPI Number: | 1144418096 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 764 |
Business Practice Address: | 108 Ensminger Dr Glasgow, KY - 421411157 |
Business Phone Number: | 2706294888 |
Business Fax Number: | 2706294880 |
Mailing Address: | Po Box 1205, MORGANTOWN |
State: | KY |
Postal Code: | 422611205 |
Phone Number: | 2705262228 |
Fax Number: | 2705262218 |
NPI Enumeration Date: | 10/04/2007 |
NPI Last Update Date: | 10/04/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 764 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |