Doctor Name: | SANDRA K PEERY |
NPI Number: | 1215179577 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | BA |
License Number: | |
Business Practice Address: | 290 Willamette St Umatilla, OR - 978826601 |
Business Phone Number: | 5419226226 |
Business Fax Number: | |
Mailing Address: | Po Box 1290, ONTARIO |
State: | OR |
Postal Code: | 979140136 |
Phone Number: | 5418899167 |
Fax Number: | 5418897873 |
NPI Enumeration Date: | 04/01/2009 |
NPI Last Update Date: | 04/01/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |