| Doctor Name: | MS. ALYSSA N. PECK |
| NPI Number: | 1790150324 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | MA058044 |
| Business Practice Address: | 46 Walnut Bottom Rd Suite 100 Shippensburg, PA - 172578219 |
| Business Phone Number: | 7175324148 |
| Business Fax Number: | 7175323561 |
| Mailing Address: | 785 5th Ave, Suite 100 CHAMBERSBURG |
| State: | PA |
| Postal Code: | 172014232 |
| Phone Number: | 7172639555 |
| Fax Number: | 7172174218 |
| NPI Enumeration Date: | 12/08/2015 |
| NPI Last Update Date: | 01/11/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | MA058044 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |