| Doctor Name: | ANITA J PECKHAM |
| NPI Number: | 1740289859 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS, CCC |
| License Number: | 51461 |
| Business Practice Address: | 3502 9th St Suite 410 Lubbock, TX - 794153300 |
| Business Phone Number: | 8067759305 |
| Business Fax Number: | 8067759302 |
| Mailing Address: | 3502 9th St, 410 LUBBOCK |
| State: | TX |
| Postal Code: | 794153300 |
| Phone Number: | 8067759305 |
| Fax Number: | 8067759302 |
| NPI Enumeration Date: | 07/20/2005 |
| NPI Last Update Date: | 07/17/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 237600000X |
| License Number: | 51461 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Audiologist-Hearing Aid Fitter |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An audiologist/hearing aid fitter is the professional who specializes in evaluating and treating people with hearing loss, conducts a wide variety of tests to determine the exact nature of an individual |