| Doctor Name: | PEGGE SINES |
| NPI Number: | 1366867681 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 04-2260 |
| Business Practice Address: | 233 E Morrison St Edgerton, OH - 435179302 |
| Business Phone Number: | 4192983377 |
| Business Fax Number: | |
| Mailing Address: | 233 E Morrison St, EDGERTON |
| State: | OH |
| Postal Code: | 435179302 |
| Phone Number: | 4192983377 |
| Fax Number: | |
| NPI Enumeration Date: | 02/24/2014 |
| NPI Last Update Date: | 02/25/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM0850X |
| License Number: | 04-2260 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Adult Mental Health |
| Taxonomy Definition: | An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |